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AKAIMS - Behavioral Health Compliance Solutions, LLC

1. Inter Agency Service Inter Agency Service Selected Child Protective Services OCS Court Legal Interface Division of Developmental Disabilities Division of Juvenile Justice Date Closed Save amp Close the Case DHSS Behavioral Health Page 47 AKAIMS 10 11 12 13 14 15 16 17 lives Intake Date Defaults to today s date This field is editable you have the ability to change the dates to the date when the actual intake occurred Source of Referral Select the appropriate entry from the drop down list Pregnant Only required if Female was selected in the Gender field on the Client Profile screen Due Date Only required if the Pregnant field selection is Yes in the Client Intake screen Injection Drug User Select the appropriate choice from the drop down list Yes No or No Response Choose yes if the client has injected drugs in the past six 6 months Presenting Problems Primary Select the appropriate choice from the drop down list Presenting Problems Secondary Select the appropriate choice from the drop down list Presenting Problems Tertiary Select the appropriate choice from the drop down list Presenting Problem In Client s Own Words Complete the free form text box User Manual v2 0 Eliot eis org AKAIMS Microsotintermnerxpioren AKAIMS Home Page Agency gt Client
2. Client ID Provider Client ID Staff Primary Care Staff Case Status All Clients Client List MS5959915995100 Clients Silly Rabbit 5 5 1992 999 99 9999 Male Profile Activity List 8 internet DHSS Behavioral Health Page 14 AKAIMS Conventions Required Fields Required fields will be indicated by a yellow background Incomplete Required Fields Incomplete required fields will generate a warning or error and will be indicated by pink background You will not be able to move forward to the next screen until you have completed all dark yellow screens and those that have been turned to pink Reporting If a field is not required for data integrity but is required to support reporting requirements for the State or Agency the background is light yellow You can move to the next screen without completing light yellow fields User Manual v2 0 7 First Name Bob Middle Name Mae Gender pos sienesz ssn eee o9 9089 Drivers License Medicaid E Soi Has paper file Last Name Gender DOB SSN Driver s License Medicaid Has paper file Y Incomplete required fields DHSS Behavioral Health Page 15 AKAIMS Accessing AKAIMS Introduction AKAIMS is a web based management information system and is accessed via a web browser To utilize your web browser and a
3. e User Manual v2 0 Assessment Scores ASI AS AM Note If you don t use this screen just skip it by selecting ASAM on the menu Path Client List gt Activity List gt Admission Assmt Scores Prerequisite You must have Y Logged into the system Y Selected a facility Y Searched and retrieved an existing ARKAIMS a o o DCA bo R client record or created and saved a A client profile if none existed Agency gt s Scor Client List Y n mesca 1 1 1 Client Profile gt amad v Completed a client intake episode a a v The client must have been admitted isa Drug Wait List Alcohol Tx Team Introduction AX Seg Te Pag ono You may manually enter the latest ASI oa Controlled Environment scores in the table If the ASI was oo Load Latest Assessment Scores o Clear Assessment S S administered through AKAIMS you may Sibstanes Abuse ee eee Legal use the Upload Latest Assessment Score link to auto populate the scores You may ASAM clear the scores using the Clear Peques j Program Enroll Assessment Scores link The Clear Treatment Team Assessment Scores link will not delete the zad Ss scores It will only remove them from view Outcomes gt Discharge gt until you load them again DHSS Behavioral Health Page 80 torn ss ts AP cnet ma o i So oo a ser Manual v2 0 AKAIMS 1 Depending on your needs clicking
4. Rendering Staff Supervising Staff Reterring Phys Administrative Actions pz amp Release to Billing Released to Billing No DHSS Behavioral Health Page 99 12 13 14 15 Rendering Staff information comes pre filled based on your login It can be changed if the person who delivered the service was different from the person documenting it here Supervising Staff Select an appropriate item from the drop down box Select an appropriate item from the drop down box for Referring Physician Depending on your needs clicking the indicated buttons produces the following results o Cancel Will take you back to the client s Treatment Encounter List o Save Saves the Encounter Profile screen contents o Finish Will save the Encounter Profile screen and you will be taken back to the client s Treatment Encounter List screen o Next Saves the screen contents of the Encounter Profile screen and takes you to the Encounter Note screen Eliot eis ors AKAIMS Microso interner zplorer ARKAIMS Home Page Agency Client List Y Client Profile gt Non Episode Contact Activity List Intake Wait List Tx Team AK Screening Tool gt Assessments Admission gt Notes Misc Notes Encounters Encounter Note Services Treatment gt Outcomes gt Discharge gt Consent Referrals Episode List System Administration gt My Settings gt Repo
5. v2 0 User Manual AKAIM S Alaska Automated Information Management System Division of Behavioral Health DHSS Behavioral Health Page 1 AKAIMS Table of Contents Minimal Data SOU so sscsevsessi5seicecc2escesesaseees a EER a 5 Navigation Guidelines cusco ais eee eaaeet 6 Introduce oe ae 6 MEAT oi iio A T Toolbar Icons And Hyperlink Suninen nnman a na a a Ta oiai 8 Navisation BUONG ear N E Cree Prete E A da 9 MANE ACON iien n E E E ito I NEEE TEA 10 Controls aa A E a A TI Messi e E OE A O O 12 Insert View ear paii ica 13 A 14 CONYEntIOMS tits ill EY MET TAP OMERT PF Tat NEE NT PE Peter eter R err Te 15 Accessimo AKA TM Siria 16 Chanae a Cia ti aa lito cats 20 IO 21 AMMOUING CIM CIS andas 21 CHE AUG iia aia 22 Client Profile amp Related screens cccccccccccesccorcccscccecccscccccccccccscccecccscccscccsceees 24 Client eane A O AN 25 Client Static diarios daran EAN 27 KT 1 E E E A EPE REEDE ROEA saa A EPE A cea es attest E EE 29 Alternate Names eranen aci ali R 32 Additional Informatio serei diarias 34 Add Collateral Contacts iniciales ic 37 Other Unibet rai ada 39 EStdt diana 41 AP O O alerts 42 Chent Imntake rins tania 46 Chent Sae Re view a A A A ARAE Aa ERIA i 50 Miaska Screening Tool ASTM ninia didas 54 Mental HealthrScreonines cinco tarta naaa iio teneis 58 Traumatic Brain Injury SCRE MIG dida id liado 60 Serena Ouen id A ate oer 62 User Manual v2 0 DHSS Behavioral Health Pa
6. RR E AAA A A a 7 AKAIMS 7 User Manual v2 0 6 School Contact Select the appropriate entry from the drop down list If the contact name you are looking for is not on the list click the Add School Contacts link and provide the appropriate information 7 Attending Grade Enter the grade the student is currently attending 8 Current GPA Enter the students current GPA if known OTE TRAINS Meroso t esrar seplorsy 9 Days Suspended in Last 30 Days AKAIMS Enter th number of days the Admission for Silly Rabbit student has been suspended in the A last 30 days if any ake ae Client is a Student Client is a Gang Member 10 Days Absent in Last 30 Days eae sae o Enter the number of days the cee o O m ait Lis col Na A student has been absent in the last ta Si N School Contact Add School Contacts 30 days if an AK Screening Tool ES ys y gt Attending Grade Days Suspended in Last30Days 11 The POSIT is a youth dual SE a Dtos assessment tool You can use paper 2 A eS version of the POSIT scale and then a o _ Peer Score LesueRecenalscore ___ Physical Health Score Education Status Score Aggression Score Mental Health Score Vocational Status Score HN Risk Score here Use the scores from the last POSIT Family Score Social Skill Score manually enter any POSIT scores administration of the test Treatment Team Notes gt Treatm
7. DHSS Behavioral Health Page 44 _ User Manual v2 0 20 Follow Up Steps Selected This box will list those items that were selected from the Follow Up Steps box To remove items select them and click the mover arrow pointing left 21 Depending on your needs clicking the indicated buttons produces the following results o Cancel Brings you back to the Non Episode List Eliot ALADO gt Merosufe interner exploren screen E E o Save Refreshes the Non ARAS pt 4 oe Episode Contact Notes screen Ayo conc ote ABRO Tne om omo ELE ovat Rosen E ist o Finish Saves the Non Clent Profile gt Contacted By Walker Michael El if Other Specify Episode Contact Notes rete Leann Aasestvogtone Ed Activity List gt screen contents You are Episode List Referring Agency Contact Type Dop then returned to the Non System Administration gt Referred By First Name Duration hrs 222 A My Settings gt a ae Episode List screen the Reports Referred By Last Heme J Saale y list contents are updated Referred By Phone Created Date 10 4 2007 12 00 AM n n Problem Description provided Follow Up Steps Selected DHSS Behavioral Health Page 45 Client Intake Path Client List Select or Create Client Activity List Episode List Prerequisite You must have Y Logged into the system v Selected a facility Y Searched and
8. Discharge uD Days Bo Date Signed DS Days gt E Selected Options Admission UD 30 DHSS Behavioral Health Page 132 RR EE A A AAA A AKAIMS 10 Depending on your needs clicking the indicated buttons produces the following results o Cancel Will take you back to the Agency Disclosure Domain List screen with no new entry being listed o Save Saves the Agency Disclosure Domain screen contents o Finish Will save the Elis otis org Ageno ConsentPolicy MMerosofe Interior Zee lorsr Ca Agency Disclosure i z l a Administrative Facili Domain screen contents AKAM Ss on Tee Print Mew Help Logout and you will be taken back gt to the client s Agency Disclosing Agency State of Alaska El Disclosure Domain List Receiving Agency Global Policy or Non System screen Notice that the new Receiving Entity Non System Agency Mikes Test Agency agency disclosure is placed Global Policy Available To All Agencies Yes in the table ionshi Always Verify Consent Yes Disclosure Domain Selection Consent Options Consent Expires Upon Selected Options AK Status Review Admission UD 30 ATR Interview Behavioral Health Assessment a IF Discharge UD DaysBo_ gt CASI Scores C le Client Information Profile e Date Signed DS Days lt Client Program Enrollment Non siatt rc m HE Staff Usage Client
9. A virus and spyware free environment A firewall solution is strongly recommended Windows XP has a built in software firewall and Cisco and Linksys offer several firewall solutions Module Security Issue When attempting to log in to AKAIMS the following error is displayed Invalid Login Attempts Solution For security purposes the account is locked after a number of failed login attempts Please have your agency administrator or one of the state staff unlock your account through the following steps on the staff screen 11 Disable Account resets the login attempts 12 Enable Account 13 Reset Credentials since they had trouble logging in DHSS Behavioral Health Page 146 User Manual v2 0 Module Agency Issue Upon logon the user gets the error There is no IForm child registered to process events in state Start Solution Open up the application directly from within Internet Explorer This is caused by the ASP Net SessionID being reused between instances of the web browser Apparently if you reconnect to the site using the same shortcut IE assumes you want to connect to the same session rather than creating a new one Issue On the Agency gt Relationships gt Collaborative screen there isn t a button for adding a collaborative relationship Solution This is a training issue in that this screen is supposed to list out the agencies that have parent child relationships Module Staff Issue After
10. Alaska Screening Tool AST Alaska co occurring screener Path Client List gt Select or Create Client gt Activity List AK Screening Tool Prerequisite You must have Y Logged into the system v Selected a facility ENEE TEE iaa Y Searched and retrieved an existing AKAIMS ep SEEMA ministre iy Client Print Mew client record or created and saved a n m a Ho client profile if none existed alo A Client List Y v Completed a client intake episode Client Profile gt Non Episode Contact 7 Intake Introduction Wat List Tx Team AK Screening Tool You have completed the client s Profile and E A Admission gt Intake screens and perhaps the Client Notes gt Status Review located under Outcomes cramer on the menu Go to Activity List and select Discharge gt Consent Screening from the menu Syl Episode List YE Click the AK Screening Tool menu item My Settings gt Reports DHSS Behavioral Health Page 54 Note Instructions on how to complete the Screening Tool can be downloaded as a PDF file by clicking on the Instructions menu item under Screening Note A paper version of the screening tool can be downloaded as a PDF by clicking on the Paper Version menu item under Screening Revised 6 4 04 anything during the interview that is cont potential dual diagnosis consumer If a consumer responds positively Yes to 4 should be asked for clarifying information is val
11. Have you ever received mental health and or substance abuse services from this or any other agency in Alaska If the client says yes and it was at your agency you already have the client profile and should not start a new one If the client says yes but it was at another agency and they know where you want to get the client s written consent and work with the other agency so that they can electronically refer the client to your agency sharing only the info that the client chose to allow That will take a little bit of time and effort but then you have the info that has already been collected and entered into AKAIMS and avoid creating a duplicate client If a duplicate client has been entered into AKAIMS it is up to the provider agency to determine which record they want to keep Then someone sends Rik an email providing just the unique AKAIMS client ID specifying that it is a duplicate client ID which should be excluded for reporting purposes DHSS Behavioral Health Page 140 User Manual v2 0 7 Module Emergency Services Issue If an individual receives emergency services but never provides Client Profile info and or completes the AK screening tool CSR or other info how do we deal with this in terms of AKAIMS Solution tis known that there is no easy way to capture non client Emergency Services within AKAIMS It is known that a workaround was communicated within the user group when Von Terry was the User Gr
12. Yes or No intake Wait List 7 Select Yes or No for the Primary calle 7 A A e creening Tool Care Staff field to indicate if the gt Assessments gt person you are adding to the team is ORES the client s primary staff member En de cl A Group Add Team Member A E inanciaVHouseho gt r Start Dat There is only one Primary Care aa Staff Name Walker Michael ate 10 4 2007 EndDate St aff Substance Abuse Non Staff Name g Legal Assmt Scores j 8 Select Yes or No for the Deny AO TERRE A A Review Member Access to Client Records If you Diagnosis e H Program Enroll Primary Care Staff select yes this member of the Sail treatment team will not be able to oy Cient Records NOUN EA view the client s record When Outcomes gt Discharge gt Consent complete click the Save button and see the person s name added to the Team Member Name list 9 Use the Add Team Member link to add additional members DHSS Behavioral Health Page 90 10 Start Date Defaults to today s date The date the record was Note The current version of AKAIMS does not automatically include the client on created This field is editable you the Tx Team To add the client go to Collateral Contacts and add the client to the have the ability to change the dates drop down Then you may add the client to the list To create a Group you must to the date when the actual intake have Access authority to enter the Agency mo
13. Note This screen is only required if SA or MH SA was selected in the Treating Admission Substance Abuse Here For field in the Admission Profile screen Prerequisite You must have Note This screen is NOT required if MH was selected in the Treating Here For i field in the Admission Profile screen Y Logged into the system v Selected a facility Y Searched and retrieved an existing client record or created and saved a client profile if none existed elos akame ors ACAI Microso Interior lt olorer ee f AKAIMS gt ninistative Facil E Y Completed a client intake episode Client Print Report Print lew Home Page n for Silly Rabbit Agency gt Intro duction Client List Client Profile gt Non Episode Contact imary This section should be completed for all Activity List Intake substance use clients This screen is limited War LG to clinicians and counselors whose access soma aT At whet age dh the cient TRST uee he eubeiancce dicated Pay secondary IN Tertiary allows them to enter data Once you select a gt of DAYS since LAST use of the substances indicated above Primary Secondary Tertiary primary substance you must complete the oo E Other Addictions Selected Other Addictions associated Severity Frequency and Method a E of Days Abstinent in Last 30 Day Alcohol 3 inancialHousehok of Days in Support Grou sections PRR ee 5 of Days Attende
14. Treatment Team Notes gt Treatment gt Outcomes gt Discharge gt tive Facility en Days on Wait List Currently Enrolled Tx Completed Reason for Termination Notes E Print Mew ser ministrative Fac Program Enrollment DHSS Behavioral Health Page 87 User Manual v2 0 10 When a client has completed a program or for some other reason is no longer in a program you must dis enroll the client You do this by clicking on Review and then changing the Yes in Current Enrolled field to No This will open the Tx Completed End Date and Reason for Termination fields Complete these fields and save You will now see the End Date in the list at the top of the screen Elio ALAS gt Merozofe terior Explorer 11 Depending on your needs clicking the indicated buttons produces the ARAIMS sn following results Sasa bios TT y Agency gt o Cancel Will clear the Client List Addiction Services ere NN pena gt Or ANOS Coe erre Administrative Facility Client Profile gt entered data oe oes gt Activity List o Save Will save the data you pas just entered in the table at Wait List Tx Team the top AK Screening Tool gt i Enrollment o Finish Will save the Facilty Administrative Facity 9 mission Program Enrollment Profile Addiction Services E Adut Out Patient SA information and you will be baa baaa returned
15. links under the Actions column To view and effect changes to a client s ClientiD FullName OB SSN Gender Actions A x M55959915995100 Silly Rabbit 5 5 1992 999 99 9999 Male Profile Activity List profile and related screens click E y Profile To view and effect changes to a client s activities click Activity A List Click the Profile link Clients with Conse ae i DHSS Behavioral Health Page 27 User Manual v2 0 2 If you click the Profile link your screen will refresh and resemble the following graphic Note By default all agency facilities are included in the initial search Note Ensure All Clients is selected in the Case Status Field to ensure both active 3 You may now begin actively working and closed records are checked with this client s record Note You can also export the entire client list by clicking on the export hyperlink The list will be exported to Excel if you do not have Excel the system will prompt you to open it in another available document type 4 Depending on your needs clicking the indicated buttons produces the following results o Cancel Brings you back to the Client Search Client List screen populated with Eliot ora AKAIMS Microso Interior Eslora Cat the results of your previous E 5 AKAIMIS cility y search Print Report print Mew Help Logout o Save Save
16. pull tabs or other gambling activities Has your mother ever consumed alcohol If yes did she drink during her pregnancy with you Faditional ceremonies potlatches DHSS Behavioral Health Page 57 AKAIMS Mental Health Screening 1 Identify the Screener You will be placed in the Mental Health screen Your name will appear at the top If another staff member administered the screening on paper and you are entering in the data select the name of the administrator in the Administered By field If necessary change the date to the day it was administered 2 Yes No No Response Questions Ask the questions of the client and record their Yes No or No Response answers When you have recorded their responses click Next to complete the remaining mental health screening questions 2 Heros ftese AKAIMS Home Page Agency gt Client List Y Client Profile gt Non Episode Contact Activity List Intake Wait List Tx Team AK Screening Tool Y Substance Abuse Brain Injury Screening Outcome Instructions Paper Version Assessments gt Admission gt Notes gt Treatment gt Outcomes gt Discharge gt Consent Referrals Episode List System Administration My Settings gt Reports ams ors AALS Microsotdntermnme e loros ichae Administered By Waker Michael Date Administered 10 3 2007 Please answer the following questions based on your activities over the pas
17. the Collateral Contacts screen Eliot akame og AKAIMS gt WMerosufe Interior Solaray AKAIMS ad cd 2 Print Report Print Mew Home Page Agency gt Client List Client Profile Y Alternate Names Additional Information Contact Info Collateral Contacts History Non Episode Contact Activity List gt Episode List System Administration gt My Settings gt Reports Click the Review link Add Contact ada B Help Logout DHSS Behavioral Health Page 40 Path Client List gt Client Profile gt History Prerequisite You must have Y Logged into the system Y Selected a facility Y Searched and retrieved an existing client record or created and saved a client profile if none existed Introduction The History screen displays a list of all users and any screens they have accessed in the system It also tracks any changes that have been made to the client s electronic chart If you make a change to the client chart like a change of address on the Address screen you may delete the old address there but the old address will still show in the History along with the creation of the new one Eliot eins org AKAIMS Microso interner Zen lorsy ARKAIMS Date Changed 10 4 2007 2 25 PM Home Page Agency gt Client List Y Client Profile Y Alternate Names Additional Information Contact Info Collateral Contacts Other Numbers Non Episode Contact Acti
18. Admission list at the top of the screen for reference purposes 1 Toenter Diagnosis at Discharge click the Add New Diagnosis Level link da eli lors AO HUSLOsUre internet Exponer p 8 si AKAIMS Home Page Client Diagnosis Agency gt Client List Y Client Profile gt Non Episode Contact Activity List Y Print Mew User Manual v2 0 Intake Wait List Tx Team AK Screening Tool Tx Summary Consent Referrals Episode List Click the Add New Diagnosis Level System Administration gt gt My Settings gt link Reports DHSS Behavioral Health Page 112 Select Diagnosis Level The Select Edit Diagnosis box will appear as dark yellow you can select the specific diagnosis for the Axis Once you have made a selection in the Select Diagnosis Level drop down list the Select Edit Diagnosis Priority and Specifier fields become visible Choose an appropriate item from the Select Edit Diagnosis drop down list Choose an appropriate item from the Priority drop down list Type in the Specifier if any Elise org ASAI gt Merosote terior pioner AKAIMS Home Page Agency gt Client List Y Client Profile gt Non Episode Contact Activity List Y Intake Wait List Tx Team AK Screening Tool gt System Administration gt My Settings gt Reports ERA j Print Mew Select Diagnosis Level Son Dago AS pion AA Priority Sp
19. Consent Read Only Discharge Read Only Intake Read Only Notes Read Only Outcomes Read Only Referrals Read Only Screening Read Only TxEncounter Read Only TxMedications Read Only TxPlan Read Only Wait List Read Only No Assigned Role Attributes No Assigned Role Attributes No Assigned Role Attributes No Assigned Role Attributes No Assigned Role Attributes No Assigned Role Attributes No Assigned Role Attributes When select WITS Administrator automatically assigned job function roles of Agency Administrator Code table Administrator Staff Administrator User Manual v2 0 DHSS Behavioral Health Page 135 User Manual v2 0 Appendix B Encounters Service Code Descriptions 80100 Drug Screen Multiple Drug Classes 90801 Psychiatric diagnostic interview examination 90802 Interactive psychiatric diagnostic interview examination using play equipment physical devices language interpreter or others 90804 Individual Psychotherapy Insight Oriented 90805 Psychotherapy w Med Mgmt 20 30 min 90806 Individual Psychotherapy 1hr 90807 Psychotherapy w Med Mgmt 45 50 90808 Individual psychotherapy insight oriented behavior modifying and or supportive in an office or outpatient facility approx 75 to 80 minutes face to face with the patient 90810 Individual Psychotherapy Interactive 90846 Family Psychotherapy w o patient 1hr 90847 Family psyc
20. Discharge gt DHSS Behavioral Health Page 91 AKAIMS User Manual v2 0 Client Wait List Path Client List Select or Create Client gt Activity List Wait List Prerequisite You must have Y Logged into the system Y Selected a facility Y Searched and retrieved an existing client record or created and saved a Elio ore AKAIMS Microsol iitsriise lt olorss Ea lx client profile if none existed ONES loci Stake talla Admira 2 Clie Print Mew Help Logout Y Completed a client intake episode oie Agency gt ctio Client List iain ut Ou Intro duction me Profile gt aoe Palit Se halk i bie Beview Non Episode Contact Activity List This module allows you to document the Click the Put Client on Waiting for placement of a client on a waiting list for a Another Program link specific program 1 To access this module go the Activity List menu and then click oma the Wait List menu item Discharge gt Consent 2 This will bring you to the Wait List Referrals which shows all previously wait EEE aay listed entries for this client Click My Settings gt the Put client on Waiting for dd Another Program link DHSS Behavioral Health Page 92 AKAIMS User Manual v2 0 o 3 When your screen refreshes you will be take to the Client Wait List screen 4 Select Program choose from the available listed programs 5 Wait Start Date de
21. Episode Contact Activity List intake Wait List Tx Team AK Screening Tool gt Assessments gt imension Level of Risk Level of Care 1 Acute Intoxication and or At Intake os Withdrawal Potential At Discharge lo E 2 Biomedical Conditions and At Intake 05 Treatment gt Complications Outcomes gt ped Se os Discharge Y 3 Emotional Behavioral or Cognitive At Intake 05 Conditions and Complications Legal Status 4 Readiness to Change At Intake 05 Diagnosis At Discharge Substance Abuse At Discharge 1S 5 Relapse Continued Use or At Intake 05 ais Continued Problem Potential os E Consent At Discharge as 6 Recovery Living Environment At Intake os Episode List System Administration gt At Discharge fos My Settings gt ee DHSS Behavioral Health Page 107 AKAIMS Legal 1 This screen allows the user to enter discharge information regarding the client s previous and current legal status 2 Legal Status Select the appropriate items from the Legal Status mover box and click the right pointing arrow This will place your selection s in the Selected Legal Status box 3 To remove a selection from the Selected Legal Status box highlight the selection and click the left pointing arrow 4 Hof Arrests in Past 30 Days Enter an appropriate number CR A oni E Hero s AKAIMS Home Page Agency gt Client Li
22. List Intake Wait List Tx Team AK Screening Tool gt Assessments gt Admission gt Notes gt Treatment gt Outcomes gt Discharge gt Consent Episode List System Administration gt My Settings gt Reports E Print Mew o ninistrative Facility Client Referral for Silly Rabbit Referred By r Referred To Agency State of Alaska Signed Consents Facility Administrative Facility Agency Staff Member Walker Michael Facility Program Staff Member a i Program eas Consents Granted Referral Status Date of Referral State of Alaska KE E lt i ES Created Date 10 5 2007 9 02 AM DHSS Behavioral Health Page 127 U field defaults to blank allowing you to enter a date other than today o Created Date Date the referral record was created This field is populated when the yellow Add New Client Referral Record link is selected on the previous screen 6 Referred To Eliot otis or ALADO gt WMerosofe niarit e coloras o Signed Consents Populated with a list of CS al See E Now System Agencies for which Agency gt Referred By STO an Agency Disclosure poa Agency State of Alaska Signed Consents Agreement has been Non Episode Contact Facilty Adminitrative FAC Agency Riks new test agency created When you select an g
23. List gt Tx Team Groups gt System Administration gt My Settings gt Reports DHSS Behavioral Health Page 133 User Manual v2 0 Appendix A Job Function Roles and Attributes Job Function Roles Role Attributes Comment Agency Administrator No Assigned Role Attributes Case ReOpen No Assigned Role Attributes Clinical Full Access Admission Full Access When select Clinical Full Access Clinical Read Admission Read Only Only is automatically moved to the Assigned Job Assessments Full Access Function Roles Assessments Read Only Client Profile Full Access Client Profile Read Only Consent Full Access Consent Read Only Discharge Full Access Discharge Read Only Intake Full Access Intake Read Only Non Treatment Team Access Notes Full Access Notes Read Only Outcomes Full Access Outcomes Read Only Referrals Full Access Referrals Read Only Screening Full Access Screening Read Only TxEncounter Full Access TxEncounter Read Only TxMedications Full Access TxMedications Read Only TxPlan Full Access TxPlan Read Only Wait List Full Access Wait List Read Only DHSS Behavioral Health Page 134 Clinical Read Only Code Table Administrator Facility Administrator RSS User Staff Administrator State Licensing Administrator State Reporting WITS Administrator Admission Read Only Assessments Read Only Client Profile Read Only
24. List Y Client Profile gt Non Episode Contact Activity List Y Wait List Tx Team AK Screening Tool gt Assessments gt Admission gt Notes gt Treatment gt Outcomes gt Discharge gt Consent Referrals Episode List System Administration gt My Settings gt Reports Intake Facility Village Sowceorreera aa o D Referral Contact v Add Referral Contact Info Presenting Problems Pima Presenting Problem n Cent s Own Words Secondary Tertiary Special Initiative Selected Y e q Print Report Print Mew Help Logout State t Administr e Facility Intake Case Information Case 1 case Sas open ae E Initial Contact Datel Intake Date 9 26 2007 PregnantNo Due Date Prenatal Treatment E Injection Drug User No Respe E AN Inter Agency Service Selected Child Protective Services OCS Court Legal Interface Division of Developmental Disabilities Division of Juvenile Justice Date Closed Save 8 Close the Case DHSS Behavioral Health Page 48 18 Special Initiative Select the Special Initiative s if any apply from the left hand list and then click the mover button pointing right Multiple selections can be made at the same time by holding down the control key and selecting these items 19 Depending on your needs clicking the indicated buttons produces the following results O Cancel Will take yo
25. Messages AKAIMS displays messages and warnings at the top of the screen just below the toolbar when required Information Messages Information o Required fields are missing messages direct the user to complete the appropriate steps to continue most tasks in AKAIMS In most cases with information messages you will not lose data and you may proceed if you choose to ignore the message An example would be Please select a Facility You could ignore the message but you could only perform functions which did not require a context to be established Some of the messages in black are informative only An example of this is on the Home Page that will tell you how many people are on the wait list Dro must save or cancel your changes first Error A red circle with an X indicates the failure to provide required data This means that the record cannot be saved Warnings may be used for incorrect formats In addition to the error message the field in error is colored pink The user may type directly over the colored box to correct the data so that it may be saved to the database i i There are currently 1 people on this facility s waitlist DHSS Behavioral Health Page 12 Insert View amp Search General There are three modes in AKAIMS Insert View and Search Each mode allows the user to perform a pre determined set of functions Insert In most cases when you first enter a screen you will be in in
26. Person Choose Yes or No from the drop down list This field is where you record whether the client is the person with a substance use problem or whether the client is the significant other parent child or other close type of relationship to the person with the substance use problem This is a federally required field that collects information about what they refer to as Codependent Collateral Number of prior SA TX Admissions enter a number in this field Number of non TX SA Related Hospitalizations in the Past six Months entering number in this field Number of Prior MH TX Admissions enter a number in this field Number of prior MH Hospitalizations enter a number in this field User Manuals v2 o Note The questions at the bottom of the screen are used to collect the number of times the client has been treated in various settings An episode is defined as having an admission and a discharge and is therefore for closed cases only When you enter the of Prior admissions this is the number of prior admissions at your agency Note All required fields are highlighted in yellow color The status of the module in the Activity List will remain In Progress until all required fields are filled You cannot enter services until the Intake and Admission Modules are completed elos let ors ALAIN Micosot Interior Eslora AKAIMS Admission Profile Wait List Potential Client for MH Ye
27. Prerequisite You must have Y Logged into the system Y Selected a facility Y Searched and retrieved an existing a III 3 5 esta KaimMsA S Microso ate F f client record or created and saved a E uy roo AKAMS Micosotintemner Exponer client profile if none existed AKAIMS o s Eb gt Clien Print Report Print Mew v Completed a client intake episode Agency gt Client List Y aa z 7 I t d ti Client Profile gt Client is a Student Client is a Gang Member ntroauction Non Episode Contact AS 9 prota X Guardian Type y This section is only required if the client is Wait List School Name under 18 years old E School Contact E Avd School Contacts Attending Grade Days Suspended in Last 30 Days 1 Client is a Student Choose Yes or ess current ara Days Absent in Last 30 Days No from the Drop Down List DDL o 2 Client is a Gang Member Choose Four on e n Yes or No from the DDLB Physical Health Score Education Status Score Aggression Score i Mental Health Score Vocational Status Score HIV Risk Score 3 Guardian Name Select the POSIT Famiy Score SocalSkilScore appropriate entry from the drop ca Gel GE GE aes GED down list Treatment Team M Notes gt 4 Guardian Type Select the Treatment gt n Outcomes gt appropriate entry from the drop Discharge gt down list 5 School Name Enter appropriate text DHSS Behavioral Health Page 71
28. Profile gt sections Non Episode Contact Problem Area Outcome Activity List Y Potential Substance Abuse Client Yes be Potential Mental Health Client Yes Wait List Tx Team Does client need FASD assessment AK Screening Tool Potential Dual Diagnosed MH and SA Client Substance Abuse A 1 in Injury Mental Health Evidence of Traumatic Brain Injury Brain Injury Follow up Details Instructions Paper Version System Administration gt DHSS Behavioral Health Page 63 Client Admission Path Client List Select or Create Client gt Activity List Admission Prerequisite You must have Y Logged into the system Y Selected a facility Y Searched and retrieved an existing client record or created and saved a client profile if none existed v Completed a client intake episode Introduction One of the objectives in the admission process is to document the entry conditions for the client The first three questions refer to whether the client is determined to have a substance abuse SA mental health MH or traumatic brain injury TBI problem The adjacent question documents the Basis for this Determination These items are pre populated from the completed Screening module You can override the Basis for Decision if in your Assessment you found evidence contrary to that found in the Screener User Manual v2 0 Read Only Fields At the top of the screen in the t
29. Y Logged into the system Y Selected a facility Y Searched and retrieved an existing client record or created and saved a client profile if none existed Introduction A Non Episode Contact allows you to document the details about contacts with the client when the client is not actively enrolled in treatment Use the tab key to move from field to field Using this screen generates data for the quarterly state reports 1 To document a Non Episode Contact choose this option from the sub menu then click the Add New Non Episode Contact Record link User Manual v2 0 Alhtos testurakaims ore ARAS Microsoft InternmetExp lores Ja e ONIS cr State of Alaska Administrative Facility 2 Print Mew Help Logout Home Page Agency gt Client List Client Profile gt Activity List gt Episode List System Administration My Settings gt Reports Click the Add New Non Episode Contact Record link DHSS Behavioral Health Page 42 10 11 Contact Date This field is auto populated with today s date Time hh mm Enter the time for the contact this note will represent You must enter the time in the format that is asked for on the screen any deviation from this format will be rejected and you will not be able to save or finish Contacted By This Drop Down List DDLB is populated with the names of the staff associated with the agency that is logged into Ref
30. _ E If yes when did it occur Physical Abilities Ability to care for yourself Speech Hearing vision or other senses Memory Ability to concentrate 5 Did you receive treatment for any of the things that changed after the head injury E How long were you unconscious How long did the concussion last 3 Did you receive treatment for the head injury 4 If you had a blow to the head that caused unconsciousness or a concussion has there been a permanent change in any of the following Mood Temper Relationships with others Ability to work or do school work Use of alcohol or other drugs DHSS Behavioral Health Page 61 ae A User Manual v2 0 Screening Outcomes Identify the Screener You will be placed in the Screening Outcomes screen Your name will appear at the top If another staff member administered the screening on paper and you are entering in the data select the name of the administrator for the Administered By field If necessary change the date to the day it was administered Problem Area Questions Outcomes of Yes No Blank will be automatically populated based on previous responses provided in the screeners Follow up Details You must provide Follow up Details for all Yes responses Also if during the course of reviewing the Alaska Screening Tool with the client you and the client decide to change some of the responses on the screen in
31. a AKAIMS Password you are authorized to enter DHSS Behavioral Health Page 17 After clicking the Go button in the previous screen a new browser window will open Here you will be required to provide your user ID and password Simply type your user ID in the user ID field and your password in the password field Your administrator would have registered you as an authorized user and the system would have sent you an email with your system generated password and user name information as well as a pin number Save this email for future use If you have not received your User ID contact your AKAIMS Administrator When complete click the Go button to proceed To manage the security of your identity a password has been assigned to you As you type it in you will see small dots for each character This is to prohibit someone from seeing your password and using it to pose as you to access the system ee err ERRORES corr oro Qqq COQOC CQ ser Manual v2 0 Note The first time you enter your assigned Password and PIN you are asked to change them Be sure to make the new Password and PIN at least 6 characters long including both letters and numbers Do not use proper names or old PIN or passwords from another system For security reasons you will periodically be prompted to change your Password and PIN AKAIMS DHSS Behavioral Health Page 18 Aft
32. adding a staff member the user receives the error message You must save or cancel your changes first However after saving the record again the same message is displayed Solution This is a known bug with the state machine The current solution is to completely close the browser window by clicking in the X in the upper right hand corner of the screen Module Client List Issue There aren t any clients on the client list Solution When the client list is first viewed press the Go button to populate the client list If you still can t see any clients on your client list it is because the staff member needs the appropriate roles to view the client list Have someone with the System Administrator role at the agency assign one of the following permissions Clinical Non treatment team DHSS Behavioral Health Page 147 __User Manual v2 0 _ Module Admission Issue What are the ASAM Levels of Care Solution Per ASAM PPC 2R 2001 they are Level 0 5 Early Intervention Level I Outpatient Level 11 1 Intensive Outpatient Level 11 5 Partial Hospitalization Level 111 1 Low Intensity Residential a k a Halfway House Level 111 3 Medium Intensity Residential Level 111 5 High Intensity Residential Level 111 7 Medically Monitored Intensive Inpatient Level IV Medically Managed Intensive Inpatient Level I D Ambulatory Detox Level II D Ambulatory Detox with Onsite Monitoring Level 111 2 D Clinically Mana
33. information 1 The Status At Admission is pre populated from the admission module Complete all the information for the Status At Discharge by selecting the appropriate response s from the Elise viens ory AALS gt Merosore Interner Explorar ax drop down lists sen Wa E p AKAIMS ot Imis Baie E oe i 5 Clien Print Report Print Mew elp Logout 2 Relationship Status Select an Home Page appropriate item from the drop mere down box Client List z 2 Client Profile gt y Status At Admission y Status At Discharge ee Ni isode Contact 3 Living Arrangement Select an Mabe Relationship Status Divorced Relationship Status appropriate item from the drop Intake AR ES d b Wait List Living Arrangement Assisted Living Facility Living Arrangement A ing Facility OWO DORs Tx Team Employment Status Disabled Employment Status Employed Pat Time E AK Screening Tool gt i f 4 Employment Status Select an Occupation Farm Owners Laborers Occupation Farm Owners Laborers E appropriate item from the drop Primary Income Source MEN Primary Income Source Alaska Native Corp Dividends _ Y down box Treatment gt Outcomes gt 5 Occupation Select an appropriate a item from the drop down box Legal 6 Primary Income Source Select Diagnosis e Substance Abuse an appropriate item from the drop al Consent Referrals Episode List System Administration gt My Settings gt down
34. level menu items are left most aligned and may include Home Page Agency Client List Reports and My Settings However depending on the user s access level some or all may be visible There are over 200 screens in AKAIMS For ease of navigation they are organized by function Therefore the client List will have a complement of screens which relate to the management of clients These screens are accessed and organized through a second level sub menu Once the user has selected a high level function using the First level menu such as Client List the menu expands to display the second level sub menu The sub menus allow the user to navigate to specific screens without having to use next and back keys If a menu item has a sub menu you will see a small triangle to the right of the label The triangle points down when the sub menu is displayed menu expands and points to the right when the sub menu is not displayed When you place your cursor over a menu item 1t is outlined with a dotted box Use a single left click of your mouse to select the menu item and display the associated screen When selected the menu item will be outlined with a box AKAIMS Agency gt Client List gt System Administration gt My Settings gt Reports Reports Second Level User Manual v2 0 AKAIMS Additional Information Contact Info Collateral Contacts Other Numbers Activity List gt Episode List System Adminis
35. pointing right Your selected items should now appear in the Selected Special Needs box If you notice that an item is selected in error simply select that item from the Selected Special Needs box and click the left mover button The item will be removed from the list of Selected Special Needs and returned to the Special Needs box Select the appropriate entry from the English Fluency drop down list Select the appropriate entry from the Primary Language drop down list Choose Yes No or leave blank for the Interpreter Needed field Select the appropriate entry from the Education drop down list Select the appropriate entry from the Veteran status drop down list Select the appropriate entry from the Citizenship drop down list E hipste akame oe AKAMS Micosotinterne Exponer 2 p ARKAIMS Agency b Races aca B Client List Y Client Profile Alternate Names Contact Info Collateral Contacts Other Numbers History Non Episode Contact Activity List gt Episode List System Administration gt My Settings gt Reports _ English Fluency Esucaton uon Primary Language Veteran status Nevern B interpreter Needed Citizenship DHSS Behavioral Health Page 35 IR User Manual v2 0 10 Depending on your needs clicking the indicated buttons produces the following result
36. retrieved an Elisa aio AKAIMS Microsoft interner lores existing client record or created and y E saved a client profile if none existed ARKAIMS a S910 ae Print Report Print View Home Page An Agency gt Intro du ction nee Client Profile Alternate Names Additional information On this screen use the Number Type and cena Number to document client legal numbers Collateral Contacts Select the number type from the drop down list and enter the appropriate number Non Episode Contact Activity List gt Episode List The following types of numbers can be en f ly Settings gt entered Reports Click the Add Other Number link 1 Court Case 2 OBISIS Number Dept of Corrections the title of this should be changed soon Juvenile Court Number Click the Add Other Number link Enter other information as needed Click on Add Other Number link for each new entry You can save multiple numbers for a client D oP w DHSS Behavioral Health Page 39 NR AKAIMS 7 Depending on your needs clicking the indicated buttons produces the following results o Cancel Brings you back to the Other Numbers screen o Save Refreshes the Other Numbers screen with your changes displayed in the appropriate columns o Finish Saves the Other Numbers screen contents and populates the appropriate columns with the information provided You are then returned to the Client Profile screen o Previous Takes you back to
37. screen contents and takes you back to the client Activity List screen Previous Will take you back to the Assessment Scores screen Next Saves the screen contents and takes you to the Diagnosis screen Note If SA or MH SA is selected in the Treating Here For field on the Admission Profile screen then Level of Care is required for each of the six dimensions Elio ai ore ADO Microso interner Explorer AKAIMS Home Page Agency gt Client List Y Client Profile gt Non Episode Contact Activity List Y Intake Wait List Tx Team AK Screening Tool gt Assessments Admission Y Profile FinanciaVHousehok Youth Substance Abuse Legal Assmt Scores ASAM Diagnosis Program Enroll Treatment Team Notes gt Treatment gt Outcomes gt aag fos 00 Print Report Print Mew Help Logout ASAM PPC2R Dimension LevelofRisk Level of Care 1 Acute Intoxication and or Withdrawal Potential 3 Emotional Behavioral or Cognitive Conditions and Complications 4 Readiness to Change 5 Relapse Continued Use or Continued Problem Potential 6 Recovery Living Environment Recommended Level of Care Actual Level of Care ASAM Notes Clinical Override Comments DHSS Behavioral Health Page 82 AKAIMS User Manual v2 0 Client Diagnosis Path Client Lis
38. state reporting Complete the field on Strengths Abilities Needs etc The Program Enrollment table will pre populate if the information was entered in the Program Enrollment screen under the Admission module Services Rendered will pre populate if the information was entered in the Encounter module Complete the Recommendations field q E Am qq AAA q A AA q AA _ Eliot ors ASAIN Microso terior pioner AKAIMS Home Page Agency gt Client List Y Client Profile gt Non Episode Contact Activity List Y Intake Wait List Tx Team AK Screening Tool gt Consent Referrals Episode List System Administration gt My Settings gt dministrative Facility Client Discharge for Doe John atm umr Presenting Problem in Client s Own Words test At Least 75 of Treatment Plan Goals Met Did Client Receive HIV AIDS Risk Assessment E Did Client Receive HIV AIDS Education EJ Did Client Receive HIV AIDS Risk Reduction Counseling E Print Report Print Wew FAS Education Given Hepatitis C Education Given TB Education Given Referral for TB Testing Strengths Abilities Needs and Preferences of Person Served Client Statement Regarding Progress Help Coo O i User Manual Program Enrollment v2 0 Logout DHSS Behavioral Health Page 117 AAA eter tetera ee err nie reer rer errr AKAIMS 7 Depending on your needs clicking the in
39. the Inter Agency Service area Ifyou still require additional sources of referral to be documented you should come to consensus within your Agency on where you would document this information Examples Client Profile Collateral Contact screen or to Presenting Problems in Client s Own Words text box on the Intake Case Information screen Consistency within your Agency is important Module Program Enrollment Issue Client is enrolled in the wrong program How do I move the client from one program to another program Solution Ifthe Agency has more than one Facility you need to select the correct Facility from the list Select Client List from the left hand AKAIMS menu Conduct a Client Search and select Go The Client List area will be populated with search results Select the Activity List link for the Client you want to move from one program to another Select Admission from the left hand AKAIMS menu The AKAIMS left hand menu will then expand Select Program Enroll From the Program Enrollment screen you can change the current Program Name by selecting the appropriate Program Name from the drop down list box After you select the new program name select Save The selected client will now be enrolled in the appropriate program DHSS Behavioral Health Page 142 __User Manual v2 0 _ Module Encounters Why Issue Encounters Why do we have to enter encounters Solution a a Issue Encou
40. the parameter The search will return all values with a string of characters which match the characters you entered D will return anything starting with D or d s will return anything ending in s o Date range This search allows you to specify a date range For instance 01 01 2000 12 31 2000 returns any record with a date in the calendar year 2000 elos eta ore AO Microso Interior Exponer AKAIMS Home Page Agency gt r Client Profile gt Non Episode Contact Activity List gt Episode List System Administration gt My Settings gt Reports pene Provider Client ID Primary Care Staff DHSS Behavioral Health Page 26 nee ete eee _ a a ce 3 Se co a NAAA en eee eine en eee we a o q _ Se eee o _User Manual v2 0 Client List Path Client List Prerequisite You must have Y Logged into the system v Selected a facility Y Searched for a client record elos leal ore AO Microso Interior Exponer Introduction ONIS pe daa ES The search method you used will result in a gt list of clients who have met the search Chen Lis w RO gt criteria These will be displayed in the aes sa a Client List section of the screen e 2 1 Notice that in the Client List col San Senay Ce SAT section of the screen there are two Reports Case Status All Cients E E
41. their treatment of the client referred Information gathered and compiled by the receiving agency is not automatically shared back to the host agency Eliot res ory AKAIMS Microso interner zplorer ARKAIMS Home Page Agency Client List Y Client Profile gt Non Episode Contact Activity List Intake Wait List Tx Team AK Screening Tool gt Assessments gt Admission gt Notes gt Treatment gt Outcomes gt Discharge gt Consent Episode List System Administration gt My Settings gt Reports agora sia Se User Manual v2 0 E Print Mew DHSS Behavioral Health Page 125 1 Once the client is selected click Referrals from the left menu The Referrals menu item can be found under the expanded Activity List menu 2 Your screen will refresh and you will be shown any existing referrals for the client 3 To add a referral for the client click the yellow underlined Add New Client Referral Record link Note There are two methods of initiating a referral There is a known problem when using the yellow underlined Create Referral Using this Client Disclosure Agreement link Please do not use this link In the future this link will become fully functional and a notice will be sent to that effect Until then use the Referrals menu item on the left side of the screen elos aora AO gt WMerosofe Interior Epionen AE Home Page Agency gt Client
42. to the client s AA Admission Profile screen a poms Scores o Previous Returns you to ee i i Program Enrol Reason or Left on own against staff advice wi the Diagnosis screen ate Termination Notes gt gt pes o Next Saves the screen a contents and takes you to Outcomes the Treatment Team a screen DHSS Behavioral Health Page 88 AKAIMS Treatment Team Path Client List gt Activity List gt Admission gt Treatment Team Prerequisite You must have Y Logged into the system v Selected a facility Y Searched and retrieved an existing client record or created and saved a client profile if none existed v Completed a client intake episode Introduction This screen allows you to record all the members of the treatment team The treatment team may be composed of staff and non staff persons 1 When you enter this screen the lower half is grayed out Click on the link for Add Team Member to add one treatment team member at a time User Manual v2 0 Note if you entered this information in the Admissions module it will pre populate here e Jiron esta ors AAI gt erosufe Interior E lt olossy ARKAIMS Home Page Agency gt Client List Y Client Profile gt Non Episode Contact Activity List Y Intake Wait List Tx Team a Screening Tool o gt Admission Profile FinanciaVHousehok Youth a Abuse sn Scores cat A Enroll Tee gt Treatment gt O
43. using alcohol drugs or inhalants Have you missed school or work because of using alcohol drugs or inhalants Date Administered In the past year have you ever had 6 or more drinks at any one time Have you done harmful or risky things when you were high Do you think you might have a problem with your drinking drug or inhalap When using alcohol drugs or inhalants have you done things wj Do you miss family activities after school activities comm or feasts because of using alcohol drugs or inhalag or inhalants Select Yes No or No Response or inhalants Do you feel guilty about your alcohol drug or inhalant use Do you or other people worry about the amount of money or time you spend at Bingo pull tabs or other gambling activities Has your mother ever consumed alcohol If yes did she drink during her pregnancy with you aditional ceremonies potlatches Ei iii KE Es E cil DHSS Behavioral Health Page 56 3 Depending on your needs clicking the indicated buttons produces the following results o Cancel Will take you back to the client s Client Activity List screen o Save Saves the Substance Abuse Screening screen contents o Finish Will save the Substance Abuse Screening screen contents and you will be taken back to the Client Activity List screen o Next Saves the screen contents and takes you to the Mental Health Screening for scr
44. 19 Encounter List screen es Print Report Print Mew o Previous Saves the screen Home Page Agency gt Start D contents and takes you to Client List a the En nter N Client Profile gt Ancillary Services Ancillary Services Rendered e counte otes ne SN 2E screen Activity List Crisis Hotline Intake Daily Living Skills Wait List miaii f TxTeam Medications Medications Rendered AK Screening Tool gt ae Pct gt Methadone Admission gt Naltrexone Notes Y None Misc Notes Other Encounters Profile Encounter Note Treatment gt Outcomes gt Discharge gt Consent Referrals Episode List System Administration gt My Settings gt DHSS Behavioral Health Page 104 Discharge Path Client List Select or Create Client gt Activity List Discharge Prerequisite You must have Y Logged into the system Y Selected a facility Y Searched and retrieved an existing client record or created and saved a client profile if none existed Y Completed a client intake episode Introduction Once the Client Profile Intake and Admission are completed you are free to discharge the client When you attempt to access the Discharge menu item the system will check to see if the client is currently enrolled in any Programs If you have not dis enrolled the client from all programs you will automatically be routed back to the Enrollment screen where you must ta
45. 2 down list This field is used in Activity List Pan for Derm E E f pi Intake Potential Client for SA Yes al Based on Screening y Treating Here For reporting to indicate the number of Wait List Potential Client for MH Yes YA Based on Screening Est Duration of TX days referrals versus new admissions or Tx Team Potential Client for TBl No E Based on Screening E 7 AK Screening Tool re admissions Be certain to check gt al Assessments for previous episodes and alternate oe Admission Type Sti Ses a E names before determining if this Pron Admission Staff Walker Michael l client is being re admitted or not to co a 7 this facility Substance Abuse Legal of Prior SA TX Admissions o Client Reported Health Status Admissions Staff The Admission pod tacit ea z Mental Heath Problem Staff field is pre populated based on val of Prior MH TX Admissions 0 Pharmacotherapy Planned the user s name that entered the Program Enroll of Prior MH Hospitalizations o Functional Assessment Done Treatment Team ll of Months Since Last Discharge On Psychotropics Yes E DHSS Behavioral Health Page 65 10 Admission Date The Admission Date field is pre populated based on the current date In some circumstances the admission record may be entered into AKAIMS on a different day This default value may be overridden so that the correct date may be recorded Screening Admission for Concerned
46. AIMS you select the item its background Home Page es Rendered for Silly Rabbit will turn dark After selecting all the Agency gt 7 appropriate services click the right ec pointing arrow for the Ancillary eo aan a 7 ames Services to move to the Ancillary drogas cr tng oa Services Rendered box To Wat List ee u coat unselect a service click on it in the A Ancillary Services Rendered box Assessments gt aire Forai Admission gt Naltrexone and click the left pointing arrow Notes None a i Other 3 Medications Select the Ecco Y Medications as applicable in the ee left hand box Then select the Frequency from the drop down box hear in the middle After that click the ee right pointing arrow for the Referrals Medications to move to the Se Medications Rendered box on the My Settings gt right To unselect a Medication desata click on it in the Medications Rendered box and click the left pointing arrow DHSS Behavioral Health Page 103 er Eo AKAIMS l User Manual v2 0 4 Depending on your needs clicking the indicated buttons produces the following results o Cancel Will take you back to the client s Treatment Encounter List o Save Saves the Ancillary Services screen contents o Finish Will save the Ancillary Services screen and you will be taken back Elias esta ors AKAIMS Microso Interior Explorer to the client s Treatment AKAIMS ag administrativa Facility
47. Behavioral Health Page 3 Us PP A n Modules Acenty tania air isis locas 147 Moduler Stata lira 147 Module Client Distintas 147 Moduler Admission ileso cideconicosiialal a T loci 148 Modules Reports uc alii dad aia 149 Module Notes Encounter Service Code Descriptions cococoooooonnonnconnnnnonononononononannanononos 149 a User Manual v2 0 DHSS Behavioral Health Page 4 Minimal Data Set Client Profile Additional Information Screen Client Intake Episode List Screen Intake Case Information Screen Client Status Review Identifying Info Screen Status Review Follow up General Questions Alaska Screening Tool AST Substance Abuse Screening Mental Health Screening Traumatic Brain Injury Screening Screening Outcomes Client Wait list Client Admission Admission Profile Screen Financial Info Household Composition Screen Youth Admission Screen Substance Abuse Screen Legal History Screen ASAM PPC2R Screen Client Diagnosis List Add Client Diagnosis Level Screen Program Enrollment List Program Enrollment Screen Notes Encounters Treatment Encounter List Encounter Screen __User Manual v2 0 _ Discharge Client Discharge Profile Screen ASAM Criteria Client Discharge Legal Status Screen Client Discharge Status Changes Since Admission screen Client Diagnosis At Discharge Client Discharge Substance Abuse Screen Client Discharge Treatment Summary Screen Disclosure Agency Re
48. Episode Contact Activity List Y o Next Saves the screen ear contents of the Encounter Tx Team AK Screening Tool gt Notes screen and takes you A ae to the Services screen Admission Notes Misc Notes Encounters Profile Please specify the service provided from the following choices Services Medical psychiatric and mental health services Educational vocational Social Support and community based services Related assessments Treatment Planning Designated case manager for children only Post discharge follow up activities Treatment gt Outcomes gt Fully describe how you assisted the recipient and or the recipient s family in the access and coordination of the identified Discharge gt case management service s Consent Referrals Other clinically relevant information Episode List System Administration gt My Settings gt DHSS Behavioral Health Page 102 User Manual v2 0 Services 1 The next screen will be the Services screen This screen allows you to document ancillary services and medications rendered to the client during the period covered by the dates you entered on the previous screen 2 Ancillary Services Rendered Select the applicable ancillary services in this box You may hold the Ctrl key down to make multiple Eliot eis ors ALADO gt WMerosufe interner Seo lorsy selections at the same time When AK
49. Intake os Conditions and Complications AtDischarge Readiness to Change At Intake 0 5 At Discharge p Relapse Continued Use or At Intake 0 5 Continued Problem Potential At Discharge Recovery Living Environment At Intake 0 5 At Discharge DHSS Behavioral Health Page 105 AKAIMS User Manual v2 0 Profile 1 The system will populate the Discharge Date with the current date You may override this date by manually typing in another date 2 Discharge Staff Select an appropriate item from the drop down box 3 Reason Select an appropriate item from the drop down box Eliot ors ALAS gt Mierosofe terior poer Ea i ition i AKAIMS Sot dministrative Facility E gt e 4 a o an eran Loci i Bee E item from the Pop Gow JOX Home Page Discharge Profile for Doe John A gt 5 Date of Last Contact Enter an eo e Discharged 10 8 2007 Date of Last Contact appropriate date for this field Client Profle gt Discharge Staff Walker Michael J Discharge Referral Non Episode Contact 6 Discharge Referral Select an di appropriate item from the drop Wait List down box Prod Tool gt Dimension Level of Risk Level of Care EREE 1 Acute Intoxication and or At Intake os 7 ASAM Criteria For each Admission b ean ee At Discharge gt g dimension the level of care and level Pe gis 2 Biomedical Conditions
50. KAIMS generates a unique client identifier for your client All of the client s records created in AKAIMS are associated with the unique client identifier Because AKAIMS is a client driven system you must first either create or select an existing client before you can perform any client related activities You can search for clients by entering a variety of search criteria on the Client Search screen which is displayed when you click Client List from the left menu Note Before adding a client to AKAIMS you should first check to see if they have already been added to the system by another user Scan the list for their name or variants of their name For instance a client named Robert may have earlier represented himself as Bob iittysc tsse ora AAI Microso Interior S lt olorsy AKAVMS Lac AS Print Mew Agency State of Alaska Facility First Name C SSN OO Last Name DOB Provider Client ID System Administration gt My Settings gt Reports All Clients Primary Care Staff Clien Click the Client List menu item Clients with Consents from Outside Agencies DHSS Behavioral Health Page 24 Client Search Path Client List Prerequisite You must have Y Logged into the system Y Selected a facility Introduction To begin working with clients you must perform a search to avoid creation of duplicate clients If the cli
51. List Y Client Profile gt Non Episode Contact Activity List Intake Wait List Tx Team AK Screening Tool gt Assessments gt Admission gt Notes gt Treatment gt Outcomes gt Discharge gt Consent Episode List System Administration gt My Settings gt Reports Print Mew Client Referral List Click the Add New Client Referral Record link DHSS Behavioral Health Page 126 Oo 4 This will open the Client Referral screen 5 Referred By Agency Pre populated with the agency you are currently logged into and read only Facility Pre populated with the facility you are currently logged into and read only Staff Member Pre populated with the name of the user currently logged into the system and read only Program This Drop down list box DDLB is populated with the programs in which the client is enrolled Reason This DDLB is populated with a selection of possible reasons for which the client is being referred If Other Free form text box for the reason for referral Comments Free form text box that allows space for comments associated with the referral Referral Status Select the appropriate entry from the drop down list Date of Referral Enter the date for the referral This User Manual v2 0 Eliot seis ors ALADO Micosot Interior Seo lorsy ARKAIMS Home Page Agency lr Client List Client Profile gt Non Episode Contact Activity
52. Manual v2 0 Elite ors AKAIMS Microso interner eolorsy E Print Mew A _ _ _ A Enrollment Tx Completed Reason for Termination Notes C ick the Add Enrollment link DHSS Behavioral Health Page 86 2 Select the appropriate facility which will then populate the appropriate Programs under Program Name 3 Program Name Select the appropriate entry from the drop down list 4 Currently Enrolled Choose Yes or No 5 Start Date the default setting for this field is today s date you may alter this by deleting the current date and entering a new one 6 Program Staff Select the appropriate entry from the drop down list 7 Notes Enter appropriate notes pertaining to this client s enrollment for this program 8 Click the Save button to save this information and remain on the same screen The enrolled program will be listed in the program enrollment table in the top section of the screen This enrollment can now be reviewed and edited or deleted 9 To create additional program enrollments for this client click the Add Enrollment link and provide the required information lios org AKAIMS Micosoitinterner Explorer ARKAIMS Home Page Agency Client List Y Client Profile gt Non Episode Contact Activity List Intake Wait List Tx Team AK Screening Tool gt Assessments Admission Profile FinancialHousehok Youth Substance Abuse
53. aVHousehok Youth Substance Abuse Legal Assmt Scores DHSS Behavioral Health Page 84 3 Select Edit Diagnosis Select the appropriate entry from the drop down list 4 Priority Select the appropriate entry from the drop down list 5 Specifier Enter any additional information you want to link to the diagnosis 6 You may use the Review and Delete links to edit and delete the entries 7 Depending on your needs clicking the indicated buttons produces the following results o Cancel The Cancel button will refresh the Diagnosis screen making no changes o Save Click the Save button to add more diagnoses This will add the current diagnosis to the table at the top of the screen o Finish Clicking the Finish button will take you back to the Admission Profile screen o Previous Clicking the Previous button will take you to the ASAM screen o Next Clicking the Next button will take you to the Program Enrollment screen aaa TT ap uo User Manual v2 0 lios og ALAS Micosoitinterner Explorer ARKAIMS Home Page Agency Client List Y Client Profile gt Non Episode Contact Activity List Intake Wait List Tx Team AK Screening Tool gt Assessments Admission Profile FinanciaVHousehok Youth Substance Abuse Legal Assmt Scores ASAM Program Enroll Treatment Team Notes gt Treatment gt Outcomes gt Discharge gt E Print Mew Client Di
54. activities after school activities community events traditional ceremanies potlatches or feasts because of using alcohol or DHSS Behavioral Health Page 55 Substance Abuse Screening Identify the Screener You will be placed in the Substance Abuse screen Your name will appear at the top If another staff member has administered the screening on paper and you are entering in the data select the name of the administrator in the Administered By field If necessary change the date to the day 1t was administered eliios fto Yes No No Response AKAIMS Questions Ask the questions of the client and record their Yes No or No Response answers When you have recorded their responses click the Next button Home Page Agency gt Client List Y Client Profile gt Non Episode Contact Activity List Intake Wait List Tx Team AK Screening Tool Y Mental Health Brain Injury Screening Outcome instructions Paper Version Assessments Admission gt Notes gt Treatment gt Outcomes gt Discharge gt Consent Referrals Episode List System Administration gt My Settings gt Reports aims org AALS WUerosure Intorioe Exponer E Print Report Print Wew B Help Substance Abuse Screeni pater By Please answer the following questions based on your activities over the past 12 months 1 Have you gotten into trouble at home at school at work or in the community because of
55. agnosis dministrative Facility A New Diagnosis Level Select Diagnosis Level SelectEdit Diagnosis Acute stress disorder 308 30 _ Priority Specifier DHSS Behavioral Health Page 85 Program Enrollment Path Client List gt Activity List gt Admission gt Program Enroll Prerequisite You must have Y Logged into the system Y Selected a facility Y Searched and retrieved an existing client record or created and saved a client profile if none existed v Completed a client intake episode Introduction This module allows you to record the client s enrollment in and transition through multiple programs within a facility The client may be enrolled in more than one program at once By default the program enrollment section is blank and the program specific fields are grayed out 1 Click the Add Enrollment link to enroll the client in a new program You may also use the Review link to change previously entered enrollment information When your screen refreshes you will see that some fields become required ARKAIMS Home Page Agency gt Client List Client Profile gt Non Episode Contact Activity List A Intake Wait List Tx Team AK Screening Tool gt Assessments Admission Profile FinanciaVHousehok Youth Substance Abuse Legal poms Scores ca e Notes gt Treatment gt Outcomes gt Discharge gt l User
56. alth Page 60 AKAIMS 3 Depending on your needs clicking the indicated buttons produces the following results O Cancel Will take you back to the client s Client Activity List screen Save Saves the Traumatic Brain Injury Screening screen contents Finish Will save the Traumatic Brain Injury Screening screen contents and you will be taken back to the Client Activity List screen Previous You may use the previous button to amend or review responses in previous sections Next Saves the screen contents and takes you to the Screening Outcomes screen A1htps testirakaims ore AKAIMS ARKAIMS Home Page Agency gt Client List Client Profile gt Non Episode Contact Activity List Y Intake Wait List Tx Team AK Screening Tool Substance Abuse Mental Health Screening Outcome Instructions Paper Version Assessments gt Admission gt Notes gt Treatment gt Outcomes gt Discharge gt Consent Referrals Episode List System Administration gt My Settings gt iMerosore Interior eslora Traumatic Brain Injury Screening for Silly Rabbit ClientId M55959915995100 Please circle and fill in your answer to the following questions based on events in your lifetime 1 Have you ever had a blow to the head that was severe enough to make you lose consciousness AE a If yes when did it occur 2 Have you ever had a blow to the head that was severe enough to cause a concussion
57. an box you will see the Client Name Referral Source Gender DOB County of Residence Race Ethnicity and Age Most of this data was entered via the Client Profile To edit inaccuracies return to Client Profile elos a ors ACAI Microso Interior Epionen ARKAIMS Wait List Potential Client for MH Yes al Based on Screening Est Duration of TX days gt Home Page A Admission Profile Agency gt ne bt County of Res Client List Y Referri A x i Client Profile gt Gender Male Ethnicity Chican Non Episode Contact DOB 5 5 1992 Age Activity List Y Basis for Decision Intake Potential Client for SA Yes al Based on Screening Treating Here For Tx Team Potential Client for TBI No El Based on Screening AK Screening Tool Assessments gt Y a ongu Client Type Admission Type Admission Staff Screening Admission for Concerned Person A Youth Sag Abuse 5 E of Prior SA TX ocn Client Reported Health Status Unknown of Non TX SA Related Hospitalizations in Past 6 Months of Prior MH TX cone Pharmacotherapy Planned ss ais Mental Health Problem ames Program Enroll Treatment Team Notes gt Treatment gt Outcomes gt ae Se A E Discharge gt of Prior MH Hospitalizations 0 Functional Assessment Done of Months Since Last Discharge On Psychotropics Yes E DHSS Behavioral Health Page 64 S
58. and At Intake os A 4 Complications of risk determined at Intake will be Outcomes gt At Discharge os E i Discharge Y 3 Emotional Behavioral i At intake os in read only format On this screen a gees provide the Level of Care and Legal celeste ent a P A Status Readiness to Change Level of Risk determination at e pees io B Discharge for each dimension a IM E ee Te RES Tx Summary 3 Continued Problem Potential Consent AtDischarge os E as 6 Recovery Living Environment At Intake os Episode List System Administration At Discharge fos My Settings gt DHSS Behavioral Health Page 106 Ot I i N O gt _ hhh rr a O AKAIMS User Manual v2 0 8 Depending on your needs clicking the indicated buttons produces the following results o Cancel Will take you back to the Client Activity List screen o Save Saves the Discharge Profile information o Finish Will save the Discharge Profile screen and you will be taken back ENTER AKAINS Microsoft VETE e to the Client Activity List AKAIMS Do site oF y fey gt E Screen nt Print Report Print Mew Help Logout o Next Saves the screen Home Page Discharge Profile for Doe John Agency contents and takes you to dicen Discharged 10 8 2007 Date of Last Contact the Legal screen Client Profle gt Discharge Staff Walker Michael E DischargeReferal O g Non
59. avioral Health Assessment e Discharge UD Client Screening DENS ASI Assessment e DENS ASI Lite E crim Just Cond Discharge cJc GPRA Assessment Intake Transaction Description Mental Status Report TAP Assessment al Consent Expires Upon CASI Scores Client Information Profile e Date Signed DS Days Other Event OE exo day Ex Disclosure Selection Admission UD 33 _ AK Status Review UD 33 ATR Interview UD 33 Comments DHSS Behavioral Health Page 124 Referrals Path Client List gt Select or Create Client gt Activity List Referrals Prerequisite You must have Y Logged into the system Y Selected a facility Y Searched and retrieved an existing client record or created and saved a client profile if none existed v Completed a client intake v Verified a signed written consent from client exists Introduction A referral is required to send information about a client to another agency Referrals cannot occur in AKAIMS if there is no active consent on record Once the system contains an active consent Release of Information ROD then the host agency can elect to share approved client information with another agency It is important to note that information is shared for a finite period of time and that the receiving agency is then responsible to collect and note case information that is pertinent to
60. be taken back to the Client Activity List screen Previous You may use the previous button to amend or review responses in previous sections Next Saves the screen contents and takes you to the Traumatic Brain Injury Screening for screen Ap estiraka ES Agency gt Client List Y Client Profile gt Non Episode Contact Activity List Y Intake Wait List Tx Team AK Screening Tool Y Substance Abuse Brain Injury Screening Outcome Instructions Paper Version System Administration My Settings gt ASAIN iMerosore Inrosiiar Eslora Print Report MES YUU vru unu iw UE YUU eT UF SUTIN SUN Do you think people are out to get you and you have to watch your step Do you often find yourself in situations where your heart pounds and you feel anxious and want to get away Do you sometimes have so much energy that your thoughts come quickly you jump from one activity to another you feel like you don t need sleep and like you can do anything Have you destroyed property or set a fire that caused damage Do you feel trapped lonely confused lost or hopeless about your future Do you feel dissatisfied with your life and relationships Do you have nightmares flashbacks or unpleasant thoughts because of a terrible event like rape domestic violence incesttunwanted touching warfare a bad accident fights being or seeing someone shot or stabbed knowing or seeing someone who has comm
61. box DHSS Behavioral Health Page 110 AKAIMS _ User Manual v2 0 _ 7 Depending on your needs clicking the indicated buttons produces the following results o Cancel Will take you back to the Client Activity List screen o Save Saves the Discharge Status information o Finish Will save the Discharge Status screen and you will be taken back Atos testirakaims ore ACAI Microsoft MENTE to the Client Activity List SS es Jministrative Facility hb g screen Clien Print Report Print Mew Help Logout o Previous Saves the screen Home Page Agency gt contents and takes you to Client List the Legal screen Client Profile gt r Status At Admission r Status At Discharge y Non Episode Contact Activity List ERE A o Next Saves the screen tiks Relationship Status Divorced y Relationship Status Cohabitatng A contents and takes you to oo Living Arrangement Assisted Living Facilty ivi Assisted Living Faci x Team ee the Diagnosis screen Rae Employment Status IE Occupation Farm Owners Laborers Primary Income Source None Primary Income Source Alaska Native Corp Dividends Treatment gt Outcomes gt Discharge Y Profile Legal Diagnosis Substance Abuse Tx Summary Consent Referrals Episode List System Administration gt My Settings gt DHSS Behavioral Health Page 111 Diagnosis Diagnoses entered at Admission will appear in the Diagnosis at
62. ccess AKAIMS you will need to have a reliable Internet connection AKAIMS requires the Internet Explorer 6 0 browser To navigate to AKAIMS backspace over the address in the address line and type the following URL in the Address Line of your browser and hit the enter key or click the Go button on the right hand side of the screen if available http akaims org After your screen refreshes you will be shown a security alert AKAIMS is located on a secure site to access this site click the yes button User Manual v2 0 Bac O a a al 2 search She Favorite Address E http akaims org Security Alert Infomation you exchange with this ste cannot be viewed or changed by others However there is a problem with the site s secunty certificate The security certificate was issued by a company you have not chosen to trust View the certificate to determine whether you want to trust the certifying authority The secunty certificate date is valid The name on the security certificate is invalid or does not match the name of the site Do you want to proceed DHSS Behavioral Health Page 16 User Manual v2 0 Warning Message Box After clicking the Yes button in the Security Alert Box you will be warned that you must be authorized to use the site Click Go if you are authorized If you have a User ID and
63. ces acute detoxification residential addiction program outpatient Alc amp or drug services ambulatory detoxification Alc amp or drug intervention service planned facilitation Alc amp or drug services medical somatic medical intervention in ambulatory setting Behavioral health residential hospital residential treatment program without room and board per diem Behavioral health short term residential non hospital residential treatment program without room and board per diem Behavioral health long term residential non medical non acute care in residential tx program stay usually gt 30 days without room and board per diem H0020 Alc amp or drug services methadone administration and or service provision of the drug by a licensed program H0021 Alc amp or drug training service for staff and personnel not employed by providers H0022 Alc amp or drug intervention H0023 Behavioral health outreach service planned approach to reach a targeted population H0024 Behavioral health prevention info dissemination service 1 way direct or indirect contact w service audiences to affect knowledge attitude H0025 Behavioral health prevention education service delivery of services with target population to affect knowledge attitude and or behavior H0026 H0027 H0028 Alc amp or drug prevention process service community based delivery of services to deliver skills of impact
64. d on the screen Save The Save button is used in two ways First it allows the user to commit data to the database after completing the required fields without having to complete the entire form Save may also be used to add multiple records to a list without having to leave the screen Examples of this function are found on screens such as Alternate Name Address and Phone Finish The Finish button saves any unsaved data and returns the user to the first screen of a module or the Activity List Previous Takes the user to the previous screen in a series of screens which compose a dataset Next Takes the user to the Next screen in a series of screens which compose a dataset and automatically saves the data entered on the current screen DHSS Behavioral Health Page 9 Table Actions Review This hyperlink allows the user to either review record details or edit them depending on their permissions and case status Delete The Delete hyperlink allows users to delete records without requiring them to go to the detailed view To reduce inadvertent deletes of important data this feature is only used in tables where most of the critical record information is displayed in the table In addition a warning screen asks the user if they want to delete the record or return to the table Ta Review Delete DHSS Behavioral Health Page 10 o O o o gt lt gt lt 3 g
65. d src AM i 1 Primary Substance Select the e Does Client Currently Use Tobacco appropriate entry from the drop O down list Program Enroll 2 Primary Severity Select the wa T PE appropriate entry from the drop Treatment gt down list eae Discharge gt 3 Primary Frequency Select the appropriate entry from the drop down list DHSS Behavioral Health Page 74 iss AKAIMS User Manual v2 0 4 Primary Method Select the appropriate entry from the drop down list 5 Secondary Substance Choose the appropriate entry for the drop down list 6 Secondary Severity Select the appropriate entry from the drop down list 7 Secondary Frequency Select the appropriate entry from the drop Elise al ors AAI Microso Interior Explorer down list r aia ACNE loc State inistative Facility E 8 Secondary Method Select the sien Print Report Print Mew appropriate entry from the drop aa 130 Sy Rabot gency down list Client List Client Profile gt see 9 Tertiary Substance Select the Non Episode Contact a Activity List appropriate entry from the drop es ary A 7 ry Wait List down list Tx Team At what age did the client FIRST use the substances indicated Pri Sson Tertia A 3 AK Screening Tool above if unknown enter 97 if not applicable enter 96 ey PRAS y 10 Tertiary Severity Select the gt of DAYS since LAST use of the substances indicated above Primary Secondary Ter
66. dd New Client Status Review link AK Screening Tool gt Assessments Admission gt Notes gt Treatment gt Outcomes identifying Info General 1 General 2 General 3 Post Discharge Print Version Discharge gt Consent Referrals Episode List System Administration gt DHSS Behavioral Health Page 51 AAA AAA AAA E EERE De AKAIMS Type of Review Select the appropriate choice from the drop down list 4 Method of Administering Select the appropriate choice from the drop down list 5 Administered By This field defaults to display the name of the staff currently using AKAIMS If necessary a different name can be selected from the drop down list 6 Date Administered The default setting for this field is today s date 7 Continue to enter the responses on the subsequent screens until you have entered all the required fields B https testa ams oe Al i 50 Pie z aca AKAIMS 7 Sate of Alaska Administrative Facility z a Print Report Print Mew Help Logout Home Page Agency gt Client List Y Client Profile gt Non Episode Contact WM E Activity List Type of Review Co y Administered By Walker Michael 00O cu ueno eii ee MER See Date Mailed Date of Return Receipt Tx Team AK Screening Tool Date of Last Review Date of Discharge gt x PDF Version Assessments gt Admission gt Notes gt Treatment gt O
67. dicate what was changed and why in the Follow Up Details text box This is for your clinical use Eliot eis ors ALADO Microso Ineariise Seo lorsy ARKAIMS Home Page Agency gt Client List Y Client Profile gt Non Episode Contact Activity List Intake Wait List Tx Team AK Screening Tool Substance Abuse Mental Health Brain Injury instructions Paper Version Assessments Admission gt Notes gt Treatment gt Outcomes gt Discharge gt Consent Referrals Episode List System Administration gt My Settings gt Reports haninsieres By Waker eaei EJ Dae ates Problem Area Potential Substance Abuse Client Potential Mental Health Client Does client need FASD assessment Potential Dual Diagnosed MH and SA Client Evidence of Traumatic Brain Injury Follow up Details A Outcome DHSS Behavioral Health Page 62 E mr AKAIMS User Manual v2 0 4 Depending on your needs clicking the indicated buttons produces the following results o Cancel Will take you back to the client s Client Activity List screen o Save Saves the Screening Outcomes screen contents o Finish Will save the Screening Outcomes screen contents and you will be taken back to the Client Activity List screen AKAIMS A Print Report Print Mew o Previous You may use the previous button to amend or S amiinien a E review responses in previous Barei a Client
68. dicated buttons produces the following results o Cancel Will take you back to Discharge Profile o Save Saves the TX Summary information o Finish Will Discharge the client o Previous Saves the screen EEE contents and takes you back elias esta ore ACAI Merosofe terior xplorer ESX to the Substance Abuse AKAIMS jan Walker Michael 0 B screen Hap Logout PEEN Home Page 8 Client is Discharged Click the Agency gt Client List Y Yes or No button to eigther close the EITEK casee or not Non Episode Contact Activity List Intake Wait List Tx Team AK Screening Tool gt Treatment gt Outcomes gt Pischargd Y Profile Legal Status Diagnosis Substance Abuse Tx Summary Consent Referrals Episode List System Administration gt My Settings gt DHSS Behavioral Health Page 118 Consent Path Client List Select or Create Client gt Activity List Consent Prerequisite You must have Y Logged into the system v Selected a facility Y Searched and retrieved an existing client record or created and saved a client profile if none existed v Completed a client intake v A signed Release of Information ROD consent form on file Introduction If a client needs to be referred to another agency the clients written consent is required before sharing any information with outside agencies Consents are also known as a Release of Information ROD In AKAIMS you will n
69. ditional addictions ARKAIMS Home Page Agency gt Client List Client Profile gt Non Episode Contact Activity List Intake Wait List Tx Team AK Screening Tool gt Assessments E 5 rca IS aa E os Scores oma Program Enroll Treatment Team Notes gt Treatment gt Outcomes gt Discharge gt User Manual v2 0 o Elise a ors AO Microso Interior Explorer Primary Print Report Print Mew Rabbit Substance Secondary Tertiary At what age did the client FIRST use the substances indicated above if unknown enter 97 if not applicable enter 96 Secondary Tertiary of DAYS since LAST use of the substances indicated above ii Secondary Tertiary of Days Abstinent in Last 30 Days Alcohol of Days in Support Gro 1 in Last 30 Daya of Days Attended Seep Other Addictions Selected Other Addictions WEES Re Does Client Currently Use Tobacco Comments eG DHSS Behavioral Health Page 76 20 Depending on your needs clicking the indicated buttons produces the following results Oo Cancel Will take you back to the client Activity List screen Save Saves the Substance Abuse screen contents Finish Saves the screen contents and takes you back to the client Activity List screen Previous Will take you back to the Youth Admission screen Next Saves the screen contents and takes you to the Legal Histor
70. dule If you have this authority you 11 End Date Enter an End Date for may go to the Agency module and click on Create Group The process there is the the Treatment Team or Group same as on this screen except that you create a Group Name format the date mm dd yy or mm dd yyyy Available Groups 12 To add a group of people to a client s treatment team at one time click the Assign Group link The groups are created in the Agency module 13 Click the desired group from the AKAIMS Available Groups list and click the right pointing arrow to select the Home Page Bae Team i z Agency gt sroup Then click the Assign E Michael a Trainer 10 4 2007 button this will add all of the eo pi Greco Connie li Case Manager 10 4 2007 e jon Episode Conta individuals from the group to the Activity List nies Netas Treatment Team and strasser mike Clinician 10 4 2007 coa Bellevue Mike Clinician 10 4 2007 12 Depending on your needs clicking Ak Scrooning Tool ee the indicated buttons produces the following results Admission Profile Assign Group Add Team Member o Finish Will save the TX _ Staff Name Start Date Team information and you N Non Staff Name Notes x Legal Add Contact will be returned to the NON sce client s Activity List screen ASAM Rene denier Diagnosis Primary Care Staff Program Enroll pen re y Access to eset roam Afa Client Records Notes gt Treatment gt Outcomes gt
71. e drag to highlight the number of slots Reports needed for your event AKAIMS Release 4 4 Enhancements 9 27 2007 1 06 PM 9 27 2007 Training Schedule 9 27 2007 1 08 PM 9 27 2007 Support Site updates 9 28 2007 1 44 PM 9 28 2007 AKAIMS User Group Meeting Minutes 9 28 2007 2 44 PM 9 28 2007 Today s Schedule 10 4 2007 10 30 AM 10 4 2007 11 00 AM Click the Edit Schedule link E shortcut to javascript sortDomainObjectiist event Schedule EndTime DHSS Behavioral Health Page 22 an _ eS y eles oe A AKAIMS User Manual v2 0 2 The Staff field is a read only system provided field When you move a staff name into the Selected Staff Member box the screen will bring up the other staff member s calendar information as well as yours This allows you to check availability for scheduling purposes You will need the appropriate access permissions to do this BY plres fucinsors selledils jMerosore Interior solora DHSS Behavioral Health Page 23 Client Profile Related screens Path Client List gt Client Profile Prerequisite You must have Y Logged into the system Y Selected a facility Introduction The Client Profile is the first screen of several in a series that contains client specific information in the system It is used to collect and display general and demographic information about a client When the Client Profile is saved A
72. e gt DHSS Behavioral Health Page 67 oe v2 0 Financial Info and Household Composition Path Client List gt Activity List gt Admission gt Financial Household Prerequisite You must have Y Logged into the system Y Selected a facility n a elos letal ors AALS Microso Interior color E E v Searched and retrieved an existing AKAIMS User Walker Michael rac 2 client record or created and saved a ES E i BA client profile if none existed Home Page Client Admission for Silly Rabbit Agency gt Financial Info NA v Completed a client intake episode OS Employment Status a Prmarycomeste E Non Episode Contact Months Emp in Last 6 Months Expected PaymentSre sR sota Employer U O ee e r ccupation v Introduction mate Occupato Tx Team Annual Household Income a A AK Screening Tool This section captures some basic federally gt Other Income Sources Other Income Sources Selected A A A gt Assessments b f required information about the client s ETS None E x 4 is x Alaska Native Corp Dividends financial situation More detailed questions Profile Alimony a e FinanciavHousehok about their living circumstance may be Tai H captured in the assessment phase Substance Abuse I Household Compostion O MartalStatus p Empl Ss Sel h a Living Arrangement g of People Liv
73. e Add Contact link 2 Fill in all dark yellow fields If you have selected Other in the Relation field use Notes to indicate what that relationship is User Manual v2 0 Note The Treatment Team screen and Other Numbers Screen contain an Add Contact hyperlink that will bring you back to this screen thus allowing you to add additional collateral contacts You may add the client here to get their name on the Tx Team Elio letal ors AAI Microso Interior Explorer EJalx AKAIMS Loci Siate jamen Ye fF Print Report Print ew Help Logout Home Page Agency gt Client List Client Profile Y Alternate Names Additional Information Contact Info Other Numbers History Non Episode Contact Activity List gt First Name Episode List System Administration My Settings gt Relation Reports Gender Date of Birth Last Name Click the Add Contact link Home Phone Work Phone Mobile Fax Created Other Last Update DHSS Behavioral Health Page 37 The Can Contact field asks the client if the provider can contact this person for any reason If you need a signed consent to be able to contact this person complete the consent in the consent module and then select Yes on this screen for the Consent On File field Be sure to ALWAYS verify that there is an active consent before releasing any information on a client Depending on your needs clicking the indicated buttons produces the
74. e a Miscellaneous Note is entered and saved it cannot be edited it can only be reviewed for details This is not a billable note Miscellaneous Notes for Doe John Note Type Case Managementtiots E Date rovsiz007 StartTime EndTime si Duration mz Frevency IE Alert No Mark Alert Was Report Sent to State DHSS Behavioral Health Page 97 CR etree eto re et rota ent a AKAIMS Encounters Profile 1 To adda new Treatment Encounter Note click the Add New Treatment Encounter Record link This will refresh your screen where you can enter the encounter details This is where you would document the details of the oe services thatare actually delivered elos ora AKAIMS Microso interner Explorer ARKAIMS Home Page Agency gt Client List Client Profile gt Non Episode Contact Activity List Y Intake Wait List Tx Team AK Screening Tool gt Assessments Click the Add New treatment eee Encounter Record link Notes Y e Misc Notes r Profile Encounter Note Services Treatment Outcomes gt Discharge gt Consent Referrals Episode List System Administration gt My Settings gt Reports DHSS Behavioral Health Page 98 10 11 Select Note Type from the drop down box Choose Yes or No for the Billable field Select the specific service being delivered in the drop down box for Service Code Description see Appendix B for an expand
75. e able to access any client records until you have picked a facility specific session Only the facilities that you Ahi akaims ore AKAIMS Microsot interner ploren are authorized to access will show up in this WON EVES list Everything you do with the exception of client search with a client record would mati be within the limits of this facility that you an select System Administration My Settings Y 1 Click the downward facing arrow for cin the drop down box next to New Reports Facility to select the Facility for the session 2 Click the Go button You will enter the AKAIMS Home screen Select a Facility DHSS Behavioral Health Page 20 AKAIMS Home Page Introduction Once you have successfully logged on to the system you will be taken to the homepage From this page all interactions with the system begin Here you will notice any system generated messages and announcements You are able to interact with your organization s schedule viewing adding editing and deleting scheduled Spine Matinee AKAIMS Mic eff rara Seo lorse events and appointments EV CAV AYES S ska Administrative Facility E Print Mew Announcements 3 There are currently 1 people on this facility s waitlist Agency gt D There are currently 2 people that have been referred in Client List gt 1 Click the Review link to access the SA Announcements screen If My Settings gt authorized you will hav
76. e the ability to edit announcements If you are AKAMS Release 4 4 Enhancements 9 27 2007 1 06 PM 92772007 Review not you may view the details of the A ie PIES on ee Support Site updates 9 28 2007 1 44 PM 9 28 2007 Review Announcement AKAMS User Group Meeting Minutes 9 28 2007 2 44 PM 972812007 Review Today s Schedule 10 4 2007 10 30 AM 10 4 2007 11 00 AM g Scheduled Review ES DHSS Behavioral Health Page 21 Schedule Note The announcements section allows AKAIMS authorized users to broadcast Users may enter their schedule information to the AKAIMS community Your agency s System Administrator can information in AKAIMS including only send information to their assigned agency The State IT staff can send posting reminders for themselves information to all AKAIMS users Another person with the authority to access staff schedules may set appointments with clients or create other appropriate events in staff schedules 1 Click the Edit Schedule link to access the Schedule screen Double elias fla org AKAIMS Microso intemen Epionen m click in the time slot for which you NONE fe Administrative Facility want to enter an event This will ae open the Schedule Edit screen If O ALA ESA gency J There are currently 2 people that have been referred in your event will last more than the Client List gt A System Administration gt length of one time slot click and a
77. ealth Page 120 AAA AAA AAA AKAIMS 7 10 Disclosed to Entity Non System Agency If Non System Agency was selected in the Disclosed to Agency field enter the name of the agency in this field Purpose of Disclosure Enter the reason for disclosure Consent Date Format MM DD YYYY Defaults to today s date This date can be changed if necessary Has the client signed the paper agreement form Choose Yes or No If No is entered then you will not be able to complete a referral for the client to another agency and the Signed Consents DDLB on the Client Referral screen will contain no information 3 jittnss test2 kaim AKAIMS Home Page Agency gt Client List Y Client Profile gt Non Episode Contact Activity List Intake Wait List Tx Team AK Screening Tool gt Assessments gt Admission gt Notes gt Treatment gt Outcomes gt Discharge gt Consent Referrals Episode List System Administration gt My Settings gt Reports DEALS Micosotintemer Exponer Ly Print Report Print Mew Entities with Disclosure Agreements Disclosed To Agency Non System Agency Y Disclosed To Entity Non System Agency Purpose torgacosuel aaa Consent ote OEA T Has the client signed the No EJ paper agreement form Client Information Options Admission AK Status Review ATR Interview Behavioral Health Assessment CASI Scores Clien
78. ecifier DHSS Behavioral Health Page 113 v2 0 7 Depending on your needs clicking the indicated buttons produces the following results o Cancel Will take you back to the Client Activity List screen o Save Saves the Diagnosis screen and updates the Diagnosis At Discharge table o Finish Will save the Diagnosis screen and you will be taken back to the Diagnosis Profile screen o Previous If you have clicked the Add New Diagnosis Level link and provided any information the system will ask you to save of cancel the changes before you can proceed o Next Saves the screen contents and takes you to the Substance Abuse screen tetz akaims AKAIMS Agency gt Client List Client Profile gt Non Episode Contact Activity List Intake Wait List Tx Team AK Screening Tool gt 62 40 Discharge Y Profile Legal Status Select Diagnosis Level Substance Abuse Tx Summary Consent Referrals Episode List System Administration gt My Settings gt Acculturation problem E Print Mew DHSS Behavioral Health Page 114 I iia A A AKAIMS User Manual v2 0 Substance Abuse This screen is used to capture the substances used by the client at time of discharge 1 Primary Substance will be pre populated based on the data that was put into the Admissions module 2 Secondary Substance will be pre ji
79. ed ee _ taciiy agency from this list it will waia sci acre auto fill the Agency field AK Screening Tool gt Es below and grayed out If the Pr Consent Dat 10552007 Signed Consents DDLB is Notes gt Treatment gt o Agency Ifthe Signed Outcomes gt Consents DDLB is left cod Referral Status Referral Created Pending EJ blank the default entry for Jee Date of Referral TO DA 2007 this field will be Non System Administration gt Created Date 10 5 2007 9 02 AM System Agency is E o Facility Populated with the Signed Consent and Agency Disclosure Agreement o Staff Member This drop down list box is populated with a list of staff members that are associated with the DHSS Behavioral Health Page 128 agency to which the client is being referred Consents Granted This list box is populated by the consents granted in the Agency Disclosure Agreement and or the Client Consent Agreement and is not populated until the Referred To section of this screen is completed and the Save or Finish buttons are clicked 7 Depending on your needs clicking the indicated buttons produces the following results O Cancel Will take you back to the Client Referral screen with no new entry being listed Save Saves the Client Referral screen contents and populates the Consents Granted list box Finish Will save the Client Referral screen contents and populates the Consents Granted list box you will be ta
80. ed list Select the appropriate Program Name from the drop down list DDL Select the appropriate Service Location from the drop down list DDL Choose Yes No or leave blank for the Emergency field TX Start Date is the date that treatment started Use the format mm dd yyyy or mm dd yy TX Start Time is the time the treatment began TX End Time is the time in which the treatment finished Use the Duration field to document the length of time the treatment has taken or will take Use the adjacent field to denote the unit in which the Duration field is measured IDC 9 Diagnosis for This Treatment Choose from the drop down list for the Primary Secondary and Tertiary fields elos aora AO Microso Interior eslora ES Home Page Agency Client List Y Client Profile gt Non Episode Contact Activity List Intake Wait List Tx Team AK Screening Tool gt Assessments Admission gt Notes Misc Notes Encounters Encounter Note Services Treatment gt Outcomes gt Discharge gt Consent Referrals Episode List System Administration gt My Settings gt Reports Service Code Description Program Name Service Location Emergency ICD 9 Diagnoses for This Treatment Ye E Print Report Print Mew Help Logout TX Start Date a TX Start Time ES Duration TX End Time coa Primary Secondary Tertiary
81. ed to suit the client and agency needs by selectively adding or removing items from the list If any option was moved into the Disclosure Selection field by mistake highlight it and then click the left arrow mover box to remove the item s The selection s will then be returned to the Client Information Options box J DHSS Behavioral Health Page 123 15 Depending on your needs clicking the indicated buttons produces the following results Oo Cancel Will take you back to the Client Consent List screen with no new entry being listed Save Saves the Client Consent screen contents Finish Will save the Client Consent screen contents and you will be taken back to the client s Client Consent List screen 3 tips AV CAVES Home Page Agency gt Client List Y Client Profile gt Non Episode Contact Activity List Intake Wait List Tx Team AK Screening Tool gt Assessments gt Outcomes gt Discharge gt Consent Referrals Episode List System Administration gt My Settings gt Reports e gt iZ akallsp Client Disclosure Agreement e Conse informatio aca A E ES Print Report Print Mew Help Logout En WDT RiK s new test agency Disclosed To Agency Riks new test agency Disclosed To Entity Non System Agency Purpose tor soose a Consent pate f10572007 Haa me olent agnet paper agreement form Client Information Options Beh
82. eed to setup Disclosure Agreements first for each agency with whom you intend to share client information 1 Click Consent from the left menu This will display the Client Consent List where you will see any existing consents 2 To create a new consent click the Add New Client Consent Record link User Manual v2 0 Note This section is only applicable to AKAIMS users who are making a client referral ARKAIMS Home Page Agency gt Client List Y Client Profile gt Non Episode Contact Activity List Intake Wait List Tx Team AK Screening Tool gt Assessments Admission gt Notes gt Treatment gt Outcomes gt Discharge gt Referrals Episode List System Administration gt My Settings gt Reports elos veins ors ACAI gt Merosofe Interior Epionen E Print Mew Click the Add New Client Consent Record link DHSS Behavioral Health Page 119 3 This will open the Client Disclosure Agreement screen The Entities with Disclosure Agreements field is populated with a list of Agencies for which an Agency Disclosure Agreement has been created See the Agency Disclosure section of this manual If you select an agency from the Entities with Disclosure Agreements drop down list box DDLB it will populate the Disclosed To Agency field with that agency s name If no agency is selected in the DDLB then the Disclosed To Agency field will contain the text Non System Age
83. een ATA VIVIS Home Page Agency gt Client List Y Client Profile gt Non Episode Contact Activity List Intake Wait List Tx Team AK Screening Tool Mental Health Brain Injury Screening Outcome Instructions Paper Version Assessments Admission gt Notes gt Treatment gt Outcomes gt Discharge gt Consent Referrals Episode List System Administration gt elias esta ors ACAI Microsot Interior Epionen Print Report Print Mew Substance Abuse Screer hamster By Waker tner E Please answer the following questions based on your activities over the past 12 months 1 Have you gotten into trouble at home at school at work or in the community because of using alcohol drugs or inhalants Have you missed school or work because of using alcohol drugs or inhalants In the past year have you ever had 6 or more drinks at any one time Have you done harmful or risky things when you were high Do you think you might have a problem with your drinking drug or inhalap When using alcohol drugs or inhalants have you done things Do you miss family activities after school activities comm or feasts because of using alcohol drugs or inhalagj and later wished you had s or inhalants Select Yes No or No Response or inhalants Do you feel guilty about your alcohol drug or inhalant use Do you or other people worry about the amount of money or time you spend at Bingo
84. een and the First Name User Manual v2 0 Elisa od AKAMS Mlerosure Interior xplorer AKAIMS Lc Su gt Administrative E io Print Report Print Mew Home Page Agency gt Client List Client Profile Y Additional Information Contact Info Collateral Contacts Other Numbers History Non Episode Contact Activity List gt Episode List System Administration gt My Settings gt Reports Click the Add Alternate Name link a 2 Help Logout DHSS Behavioral Health Page 32 2 Enter the client s alternate name information First Name Middle Name and or Last Name If you wish to add multiple Alternate Names Click the Save button to store the name in the Alternate Name table at the top of the screen You must click the Add Alternate Name link after each entry to insert additional names Depending on your needs clicking the indicated buttons produces the following results o Cancel Brings you back to the Alternate Names screen The fields are populated with their original contents o Save Refreshes the Alternate Names screen with your changes which are then displayed in the appropriate columns o Finish Saves the Alternate Names screen contents and populates the appropriate columns with the information provided You are then returned to the Client Search Client List screen o Previous Takes you back to the Client Profile screen o Next Brings you to the Additiona
85. elect Admission in the Activity List sub menu You will be placed in the Admission Profile the first of 9 admission screens 2 Treated Here For This field specifies what problem area will be addressed at the current facility again based on your Assessment Your selection in this field will determine what information you need to complete in the rest of the Note If you accidentally select the wrong client do NOT click the close button at the top right corner The close button red X will close your browser and lock you out of the session Use the menu at the far left to return to Client List Note If SA or MH SA is selected then the ASAM Level of Care will be required at Admission and Discharge client record In some circumstances the admission record may be entered into AKAIMS by someone other than the admitting counselor This field may be changed by selecting another staff member from the drop down list Notes gt Treatment gt Outcomes gt Discharge gt Admission module If SA or Eliot eis org AKAIMS gt Merosofe Interior ecoloral EJalx MH SA is selected then the ASAM o E e L 1 C ill b ired at NES E Ey e evel of Care will be required a Print Repot Frit ew Hap Logout Admission and Discharge Home Page A Admission a Agency gt F 3 Admission Type Select the Client List Client Profile gt appropriate entry from the drop dr A 5 198
86. em s to be shared from this list 9 Consent Expires Upon o Choose either Discharge or Date Signed o Enter a number This number represents the number of days that the shared information will be accessible An example is that if Discharge radio button was selected and 30 was entered in the Days field the information would be available for 30 days after the client was discharged If no number is entered here then the shared information will not be available upon the client s discharge o Click the Right Mover Button This will move the Consent Options item selection into the Selected Options list box with the appropriate expiration count AV CAV AYES Tx Team Groups gt Non Staff Physicians gt Staff Usage Client List gt System Administration gt My Settings gt Reports val l Elise org Agency ConsentPolicy Microso intermnerkzploren Administrative Facility al E E Print Mew Help Logout Agency Disclosure Domain Discos Agency Stata EJ Global Policy or Non System Mikes Test Agency Yes Yes 7 Receiving Agency Receiving Entity Non System Agency Global Policy Available To All Agencies Always Verify Consent Disclosure Domain Selection Consent Expires Upon Consent Options AK Status Review ATR Interview Behavioral Health Assessment CASI Scores Client Information Profile Client Program Enrollment fal A
87. ent gt Outcomes gt Discharge gt DHSS Behavioral Health Page 72 AKAIMS 12 Depending on your needs clicking the indicated buttons produces the following results o Cancel Will take you back to the client Activity List screen o Save Saves the Youth Admission screen contents o Finish Saves the screen contents and takes you back to the client Activity List screen o Previous Will take you back to the Financial Info and Household Composition screen o Next Saves the screen contents and takes you to the Substance Abuse screen Aadi s ES m m ser Manual v2 0 Elise a org ACAI Microso interner Explorer AKAIMS laet State ef Alaska Administrative Fact S Print Report Print Mew Client is a Student Client isa Gang Member EJ Guardian Name 0O Guardian Type School Name School Contact 0 Add School Contacts Attending Grade Days Suspended in Last 30 Days Current GPA Days Absent in Last 30 Days Substance Abuse Score Physical Health Score Education Status Score Aggression Score Peer Score Leisure Recreatal Score Mental Health Score Vocational Status Score HIV RiskScore POSIT Family Score Social Skill Score Gil E GED eas TED DHSS Behavioral Health Page 73 y Substance Abuse Note You cannot have a Secondary substance without a Primary Path Client List gt Activity List gt
88. ent does not already exist a new client profile needs to be created By entering specific search criteria you can also use this screen to generate lists of clients matching specific criteria such as gender facility etc 1 Click Client List from the left menu Your screen will refresh to display the Client Search Client List screen 2 Clicking the Go button without entering search criteria will return a listing of all clients for your agency elos aora AO Microso Interior Exponer ARKAIMS Home Page Agency gt r Client Profile gt Non Episode Contact Activity List gt Episode List System Administration gt My Settings gt Reports Print Mew Client Search Agency State of Alaska First Name All Clients Client List Click the Go button Clients with Consents from Outside Agencies DHSS Behavioral Health Page 25 User Manual v2 0 3 Type any known information in any search field to narrow your results to a smaller more refined list of clients o Exact Match This type of search is to find records which match the search criteria exactly o Wild Card Wild Card searches are very useful in cases where you do not have the exact value or spelling of a parameter It allows you to search with two or more characters To use the wildcard search place an asterisk after before or on both sides of the known characters of
89. er clicking the Go button next to the password you will be asked for your PIN To manage the security of your identity a Personal Identification Number PIN has been assigned to you It will be lengthy and will not appear to follow any convention This is to prohibit someone from being able to guess your PIN and access the system as you After entering your PIN click the Go button AKAIMS User Manual v2 0 DHSS Behavioral Health Page 19 __User Manual v2 0 Change facility Note The agency you are attempting to access must have already had at least one facility registered You will have been granted access to one or more facilities by your agency administrator when you were granted access rights to the system If you do not see the correct facility listed in the dropdown list contact you agency administrator for assistance Introduction AKAIMS requires each user to have access to a Facility for their session Most users will be associated with one Agency but some users may be associated with multiple Facilities The facility you select defines the boundaries within which you can work within this session All facilities under your agency are listed in the New Facility list and you are asked to pick one for this Note You may use Cancel and go to the menu on the left However you will not b
90. erral Select an appropriate entry from the DDLB Formal Informal or None Referring Agency Enter the referring agency if any Referred By First Name Enter the first name of the person who made the referral if any Referred By Last Name Enter the last name of the person making the referral if any Referred By Phone Enter the phone number f the person making the referral if any Problem Description Enter information that would best describe the problem s the client is experiencing Comments Enter appropriate information User Manual v2 0 J Elite ors AKAIMS Microso interner ploren ARKAIMS Home Page Agency gt Client List Y Client Profile gt Activity List gt Episode List System Administration My Settings gt Reports Client Print Mew Contact Date tozar2007 Time hh mm Contact Reason Contacted By Walker Mic If Other Specify tte cuz EN El sees Agen conc E Referred By First Name Duration hrs J Referred By Last Name Severity Rating y Referred By Phone Created Date 10 4 2007 12 00 AM is a Comments Follow Up Follow Up Steps Follow Up Steps Selected DHSS Behavioral Health Page 43 AKAIMS 12 13 14 15 16 17 18 19 Contact Reason Select an appropriate entry from the DDLB Crisis Other Seeking Admission Seeking Info Education of
91. extended Phone conversation with a counselor 4 Intake Facility The Intake Facility field is pre populated based on the facility that you were logged into when you added the new client profile The drop down list box will include only those facilities that have been set up for your agency 5 Intake Staff Pre populated and defaults to the name of the Agency Staff currently logged into the system The drop down list box will include only those staff who have been set up in your agency 6 Case Status Defaults to open active when starting a new episode 7 Initial Contact Select the appropriate entry from the drop down list 8 Village Select the appropriate entry from the drop down list Village refers to where the client User Manual v2 0 elos let ore ACAI gt 1 Merosore interner pioen ES Home Page Agency gt Client List Client Profile gt Non Episode Contact Activity List Wait List Tx Team AK Screening Tool gt Assessments gt Admission gt Notes gt Treatment gt Outcomes gt Discharge gt Consent Referrals Episode List System Administration gt My Settings gt Reports Initial Contact Date Source of Referral PregnantNo Referral Contact Due Date Prenatal Treatment Injection Drug User No Respe E Presenting Problems Primary E Presenting Problem In Clients Own Words E Te A i Special Initiative Selected E Add Referral Contact Info
92. faults to today s date change if necessary 6 Added to Wait List By choose from the available listed Staff names 7 Receiving Interim Services choose Yes or No lios Fai og AKAIMS Microso intenc ecolorar AKAIMIS OY Agency State of Alaska Client List di Client Profile gt Non Episode Contact Activity List Y Intake Tx Team AK Screening Tool gt Assessments gt Admission gt Notes gt Treatment gt Outcomes gt Discharge gt Patient is Injecting No Consent Patient is Pregnant No Referrals Due Date Episode List System Administration gt My Settings gt Removed From Wait List By Reports Reason Comments Dually Diagnosed Admit Client DHSS Behavioral Health Page 93 Notes Path Client List gt Select or Create Client Activity List Notes gt Encounters Prerequisite You must have Y Logged into the system Y Selected a facility Y Searched and retrieved an existing client record or created and saved a client profile if none existed v Completed a client intake episode v Client must have been admitted v Client must be enrolled in a program Introduction This module allows you to document a variety of notes each of which serves different purposes l To access this module go the Activity List menu and then click the Notes menu item This will bring you to the Notes List which shows all previously entered M
93. following results o Cancel Brings you back to the Collateral Contacts screen o Save Refreshes the Collateral Contacts screen with your changes displayed in the appropriate columns o Finish Saves the Collateral Contacts screen contents and populates the appropriate columns with the information provided You are then returned to the Client List screen o Previous Takes you back to the Contact Info screen o Next Saves the screen contents and takes you to the Other Numbers screen 2 0 Note Be sure to enter at least one phone number for the contact AKAIMS will not let you save the screen contents until you do so Elise og AKAIMS gt MMerosufe Interior Ecoloral Ea 5 ARK ATMIS 7 gp Print Report Print Mew Help Logout gt ty Home Page Collateral Contacts Agency gt Client List Client Profile Y Alternate Names Additional Information Contact Info Other Numbers History Non Episode Contact Activity List gt Episode List System Administration gt My Settings gt Reports Date ofBith ssu Can Contact KA Consent On Fie Home Phone Notes WorkPhone Mobile a Fl Created otmer Last Update DHSS Behavioral Health Page 38 Other Numbers Path Client List gt Client Profile gt Other Numbers Prerequisite You must have Y Logged into the system Y Selected a facility Y Searched for and
94. ge 2 AKAIMS Ch nt Admission iniciadas 64 Financial Info and Household Compositi n a ariadna 68 oth O O 71 Supstance AW WS Gis baaa aaa taa 74 Me Sa SOP decias 78 Assessment Scores ASI ASAM corts tarda ii ie ies 80 ASAM PECIR resonar 82 ChentDiasnosis ea a aa 83 Program Enrollmentors aiii ada 86 Treatment Lem aida oil leales E 89 Chent Walt Did aia 92 NOCOS sscssesevesessascens E E E E E EA 94 MP A E EA EE E 96 Enco nte Snoen a a 98 Proleto enre a a aaa 98 Encounter Dotesianiaa a A E A 101 A a O O 103 O A O 105 Prol arnold rial 106 A in tae cee a ease en a ance bredetia Leesa ie Luana ER LE E N 108 A AE E EOE A 110 Diagnosi nana a a cout erzeasedudes sehen 112 Treatment Sunat ai ia dador 117 CONSE C ida 119 A a ECE Eee 125 Agency Disclosure Agreement cccccccccccccceccccccccccccecccecccecccecccccccceccceccccccsecceees 130 Appendix A Job Function Roles and Attributes coocccocccnnonononnnnnonecnonionecnnos 134 Appendix B Encounters Service Code DeSCIriptions ccccccccccceecceeeceeees 136 Appendix C FAO Standards 139 Module Cent Protle orita aaa 139 Modules Client Search A 139 Module Emergency Services iaa adi 141 Module Intake ess did 142 Module Program Enrollment coria 142 Module Encounters Wii ias 143 Module Consent Referrals and Disclosures cococococononononononononononononononinonananananananonananons 144 Module Generale ui id 146 User Manual v2 0 o DHSS
95. ged Residential Detox Level III 7 D Medically Monitored Inpatient Detox Level IV D Medically Managed Intensive Inpatient Detox Issue A client enrolled in one program has completed treatment and needs to be transferred to another Solution This can be accomplished on the Program Enrollment screen Set their enrollment status to transferred and set the end date then add a new enrollment record for the second program Issue On the Admission gt Substance Abuse screen there isn t an option for Polydrugs in the substance field Solution This is a field required by the federal government for the TEDS dataset They want the top three substances to be specified rather than having them rolled up into a single Polydrugs category DHSS Behavioral Health Page 148 User Manual v2 0 Module Reports Issue Problem printing the reports usually occurs when visiting a remote office Solution This is because Adobe Acrobat Reader is required for viewing and printing PDF documents Issue When trying to print the user receives the error Could not start print job Solution a This is a known problem with Adobe Acrobat Reader 6 0 Please update to the latest version This problem is described in detail on the Adobe website at http www adobe com support techdocs 33396 htm Module Notes Encounter Service Code Descriptions Issue I am unable to read all the items listed in the Service Code Description drop down l
96. he selected item s should now appear in the Selected Races box If you notice that an item was selected in error simply select that item from the Selected Races box and click the left mover button The item will be removed from the list of Selected Races and returned to the Races box 0 User Manual v2 7 Note Many of the fields on this screen are federally required Ethnicity is also federally defined The client s Community of Origin is from where they came to seek services at your agency not place of birth You may need to come back to fill in Special Needs after an assessment has been done on the client Be sure to fill in all of the color highlighted fields E hittnss test2 akaims ore i m o aca AKAIMS cr St dministrtie Facility Bb Print Report Print Mew Help Logout Home Page Agency gt Races Client List Client Profile Y Alternate Names Contact Info Collateral Contacts Ethnicity Other Numbers History Non Episode Contact Activity List gt Episode List System Administration gt My Settings gt Reports Community of Origin Special Needs Education Primary Language Veteran Status Citizenship Mover boxes DHSS Behavioral Health Page 34 Select the appropriate entry from the Ethnicity drop down list Select the appropriate entry s from the Special Needs box then click the mover button
97. hotherapy conjoint psychotherapy with patient present 90849 Multiple Family group psychotherapy 90853 Group psychotherapy other than multi family group 90862 Pharmacologic Management 90862HF Medication Management for Substance Abuse Medicaid 90885 Psychiatric evaluation of hospital records other psychiatric reports psychometric and or projective tests and other accumulated data for medical diagnostic purposes 90887 Treatment Team Advisory 90889 Preparation of forms 90899 Miscellaneous 96100 Psychological Testing 99205 Psychiatric Assessment new patient 99245 Office consultation for a new or established patient which requires a comprehensive history a comprehensive examination and medical decision making of high complexity 99371 Telephone call by a physician to patient or for consultation or medical management or for coordinating medical management with other health care professionals 99372 Telephone call intermediate 99373 Telephone call complex or lengthy 99402 Crisis Intervention 30min 99404 Crisis Intervention 1hr CDABEF Family involvement training counseling CDACM Coping skills development assistance individual CDADK Substance Abuse Therapy CDAEP Behavior modification training social skills individual counseling DHSS Behavioral Health Page 136 User Manual v2 0 CDAEQ Social skills assistance group each 60 m
98. idated this will trigger a referral for a If a consumer responds positively to any tw asked for clarifying information and if the referral for a full substance abuse depend positively to both questions 14 and 15 they Screeners are urged to err on the side of re sure of the likelihood of a positive screel treatment SECTION Il Mental Health Screen Scorin If a consumer responds negatively to all a anything during the interview that is cont potential dual diagnosis consumer ges Ifa OS ps aa GS to Scoring Information for the Alaska Screening Tools SECTION I Substance Sia a a If a consumer responds negatively to all qu Revised 6 4 04 Alaska Screening Tool For Dual Diagnosis and Traumatic Brain Injury Please circle your answer to the following questions based on your activities over the past 12 months 1 Have you gotten into trouble at home at school or in the community because of your drinking using drugs or inhalants Yes No 2 Have you missed school or work because of using alcohol drugs or inhalants Yes No 3 In the past year have you ever had 6 or more drinks at any one time Yes No 4 Have you done harmful or risky things when you were high Yes No 5 Do you think you might have a problem with your drinking drug or inhalant use Yes No 6 When using alcohol drugs or inhalants have you done things without thinking and wished you had not done them later Yes No 7 Do you miss family
99. ients tr ED Search fields DHSS Behavioral Health Page 13 Search Exact Match This type of search is to find records which match the search criteria exactly Therefore if you type First Name Jane you will only get clients who have the first name of Jane You may constrain the search results by adding other parameters such as First Name DOB and Facility to reduce the number of erroneous results Wild Card Wild card searches are very useful in cases where you do not have the exact value or spelling of a parameter It allows you to search with just three characters To use the wildcard search place an asterisk after before or on both sides of the known characters of the parameter Click the Go button The search will return all values with a string of characters which match the characters provided by you D will return any string starting with D or d s will return anything ending in s Range Expression This search allows you to search a range of values when given two specific values 01 01 2000 12 31 2000 returns any record with a date in the year 2000 Altos testirakaims org AKAIMS AKAIMS Home Page Agency gt M Client Profile gt Non Episode Contact Activity List gt Episode List System Administration gt My Settings gt Reports First Name Rabbit co s nen a a User Manual v2 0 UMerosofe Interior Exper
100. in your lifetime that many fields are erayed out a 1 Have you ever had a blow to the head that was severe enough to make you lose consciousness v ae i upon entering this screen That is Intake nea A lial a A Wait List 2H had a blow to the head that ht ion OO because some questions are not ae jave you ja a w to was severe enoug to Cause a Es os relevant unless the client has AK Screening Tool Y If yes when did it occur How long did the concussion last d Yesto havi Substance Abuse 3 Did you receive treatment for the head injury B answere es to av ng a severe Mental Health 4 If you had a blow to the head that caused unconsciousness or a concussion has there been blow to the head a concussion or ZIT a permanent change in any of the folowing treatment for a head injury If the instructions al wand d di Ability to care for yourself Temper client answered Yes the fields will wR Saen eid become write enabled for you to oma K Hearing vision or other senses Ability to work or do school work record more information related to EA Memory Use of alcohol or other drugs the injury If they answer No they Outcomes Abilty to concentrate a n Discharge gt will remain grayed out cee Referrals Episode Lt ae E GP as E gt System Administration My Settings gt Reports 5 Did you receive treatment for any of the things that changed after the head injury A 8 0 tntemet DHSS Behavioral He
101. ing With Cient 1 mp oyment tatus Select the of Children in Residential Setting of Children in Household appropriate entry from the drop iagnosi of Children in Residential Setting Receiving Services down list Relation to Client Living with Client Aunt s gt 2 Primary Income Source Select ano the appropriate entry from the drop down list 3 Expected Payment Source Select the appropriate entry from the drop down list DHSS Behavioral Health Page 68 o asa a E AKAIMS User Manual v2 0 4 Insurance Type Select the appropriate entry from the drop down list 5 Occupation Select the appropriate entry from the drop down list 6 Annual Household Income Select the appropriate entry from the drop down list 7 The information for income from SSI SSDI is input under the Other Income Sources which allows you to pick multiple options Elio letal ors ACAI Microso Interior Explorer AKAIMS jaaa Fac 8 Household Composition This Eo gan Use field provides information about who oe if anyone lives with the client Select Client List j Client Profile gt Primary Income Sre G the appropriate entry from the drop as E no Expertas Payneet Sro down list Activity List Y Employer OOS Insurance Type sd Intake 9 Marital Status Select the aa a mm x leam usehold v appropria
102. inutes Coping support skill counseling CDAKQ Social skills assistance group each 15 minutes Psychological testing brief assessment Testing evaluation and interpretation CDBAQ Psychological testing comprehensive Testing evaluation and interpretation CDAJC CDBAP CDBAS H0001 H0002 H0003 H0004 H0005 H0006 H0007 H0008 H0009 H0010 H0011 H0012 H0013 H0014 H0015 H0016 H0017 H0018 H0019 Neuropsychological testing Testing evaluation and interpretation Alc and or drug assessment Behavioral health screening to determine eligibility for admission to treatment program Alc and or drug screening laboratory analysis of specimens for presence of alcohol and or drugs Behavioral health counseling and therapy per 15 min Alc amp or drug services group counseling by a clinician Alc amp or drug services case management Alc amp or drug services crisis intervention outpatient Alc amp or drug services sub acute detoxification hospital inpatient Alc amp or drug services acute detoxification hospital inpatient Alc amp or drug services sub acute detoxification residential addiction program inpatient Alc amp or drug services acute detoxification residential addiction program inpatient Alc amp or drug services sub acute detoxification residential addiction program outpatient Alc amp or drug servi
103. ion Performance measures require that the first three quarters of data be available for FY08 That means that any referrals that have occurred on or after July 01 2007 must be entered into AKAIMS Ifyou have any questions related to completing the Consent and Referral screens please contact Michael Walker DHSS Behavioral Health Page 144 Issue User Manual v2 0 Does our Agency need to capture referrals to our Infant Learning Program Solution a Issue No referrals to Behavioral Health SA MH and MH SA treatment only There may be times when you hear of referral to housing referral to employment etc This does not constitute a referral Formal referral for Behavioral Health treatment Are referrals from our Crisis line or Emergency Response required Solution a It is known that there is no easy way to capture non client Emergency Services within AKAIMS It is known that a workaround was communicated within the user group when Von Terry was the User Group chair The work around allowed for the creation of a fake client record of EMERGENCY CONTACT and then Emergency Services activity would be captured on the Non Episode Contact screen The workaround does not allow for the capturing of Referral data specific to Emergency Service activity Until functionality for Emergency Service activity is designed and developed within AKAIMS all Emergency service referrals will have to be captured manually UNLESS At a
104. iscellaneous and Billable Notes To review an existing Note click on Review in the Actions column Ahi testrakaims ore AKAIMS osotintermnet Exponer AKAIMS Home Page Notes List Agency gt Client List Client Profile gt Non Episode Contact Case Management Note 10 8 2007 Activity List Y Intake Wait List Tx Team AK Screening Tool gt Assessments gt Admission gt 7 Misc Notes Encounters gt Treatment gt Outcomes gt Discharge gt Consent Referrals Episode List System Administration My Settings gt Reports E Print Mew Walker Michael DHSS Behavioral Health Page 94 User Manual v2 0 3 To print notes that have previously been entered click the Print Notes link This will bring up a screen to a a oar note date blank all notes will be NoteDate included Click Go This will bring T aE up a Note List To Print this list click Export This will export the notes into Excel to be printed Client Treatment Notes DHSS Behavioral Health Page 95 _User Manual v2 0 Miscellaneous 1 To add a new Miscellaneous Note Notes List click the Add New Misc Notes Record link This will bring you to the screen to enter the details If you select the Add New Billable Note link you will be taken to the Encounter Note Profile screen to start a Billable Note 2 Author Name Author Title and Created Date and Time all pre filled by the syste
105. ist box DDLB in the following location Activity List Notes Encounters Encounter Screen Solution Service Code Description see Appendix B DHSS Behavioral Health Page 149
106. itted suicide fire or natural disasters like earthquake or flood Do you have difficulty sleeping or eating Have you physically harmed or threatened to harm an animal or person on purpose Have you lost interest or pleasure in school work friends activities or other things that you once cared about Do you feel angry and think about doing things that you know are wrong Do you often get into trouble because of breaking the rules Do you sometimes feel afraid panicky nervous or scared Do you feel sad or depressed much of the time Do you spend a lot of time thinking about your weight or how much you eat 2 2 7 Us 7 O er Manual v2 0 i BE EE lt Dll ae DHSS Behavioral Health Page 59 Traumatic Brain Injury Screening 1 Identify the Screener You will be placed in the Traumatic Brain Injury screen Your name will appear at the top If another staff member administered the screening on paper and you are entering in the data select the name of the s Eliot eis ors ALADO Microso interner xpioren administrator for the Administered By field If AKAIME M E rint Report rint Mew necessary change the date to the day it dministered mb ayie wasa a none Administered By Walker Michael El Date Administered 2 x Read only fields You will notice Client Profile gt Please circle and fill in your answer to the following questions based on events
107. ke the steps to end a client s enrollment s Once all enrollments are ended return to the Discharge screen You will be placed in the Discharge Profile screen the first of 6 Discharge screens User Manual v2 0 Note The client cannot be discharged until the state reporting requirements have been met Note You cannot discharge a client who is still enrolled in a program Note If SA or MH SA is selected in the Treating Here For field on the Admission Profile screen then Level of Care is required for each of the six dimensions Eliot aora AO gt Mierosofe Interior lt olorss NES Home Page Agency gt Client List Y Client Profile gt Non Episode Contact Activity List Intake Wait List Tx Team AK Screening Tool gt Assessments Admission gt Notes gt Treatment gt Outcomes gt Discharge Y Legal Status Diagnosis Substance Abuse Tx Summary Consent Referrals Episode List System Administration gt My Settings gt Reports El TT E Print Report Print Mew Help Client needs one DSM IV level diagnosis for state reporting Discharge Profile for Doe John Discharged 10 8 2007 Date of Last Contact Discharge Staff Discharge Referral ooo y Level of Risk Level of Care 1 Acute Intoxication and or At Intake os Withdrawal Potential At Discharge r a aa Biomedical Conditions and At Intake 0 5 Comicon At Discharge goo Emotional Behavioral or Cognitive At
108. ken back to the client s Client Referral List screen Notice that the new client referral is placed in the table Eliot eis ors ALADO Microso interner zplorer ARKAIMS Home Page Agency lr Client List Client Profile gt Non Episode Contact Activity List Intake Wait List Tx Team AK Screening Tool gt Assessments gt Admission gt Notes gt Treatment gt Outcomes gt Discharge gt Consent Episode List System Administration gt My Settings gt Reports E Print Mew Sta ministrative Facility Client Referral for Silly Rabbit Referred By Agency State of Alaska Facility Administrative Facility Staff Member Walker Michael Program Reason If Other Referral Status Date of Referral Created Date 10 5 2007 9 02 AM y Referred To Signed Consents Agency Rik s new test agency Facility Staff Member Program Consents Granted Consent Date 10 5 2007 Disclosure Domains DHSS Behavioral Health Page 129 User Manual v2 0 Agency Disclosure Agreement Path Agency Relationships Disclosure Prerequisite You must have Y Logged into the system Y Selected a facility _ _ _ __ ____________ ___________ gt _ gt ___ elos estais og Ageno Uiselosurs Policy Lise erosofe terior Explorer Eat E g Print Mew Help Logout Introduction AKAIMS Administrative Facility Agency Disclosure Ag
109. l Information screen ser Manu 1 v2 0 Note If at some point you need to review or delete an entry in the Alternate Names table click either the Review or the Delete link in the table Note It is best practice to get a copy of the person s license for verification of address spelling of name etc Elio akame og AKAIMS Microso Interior elos AKAIMS Print Report Print Mew Help Logout Home Page Alternate Names Lastiame Eirstlame Mame Aeons Client List w Bugs Client Profile Additional Information Contact Info Collateral Contacts overtumers rstiane pup cae nane History Last E Non Episode Contact e Activity List gt Episode List w System Administration gt My Settings gt Reports Review and Delete links ministrative Facility DHSS Behavioral Health Page 33 Additional Information Path Client List Client Profile gt Additional Information Prerequisite You must have Y Logged into the system v Selected a facility v Searched and retrieved an existing client record or created and saved a client profile if none existed Introduction This screen is used to capture the client s federally mandated race and_ ethnicity information as well as any special needs Additionally English Fluency Education and Veteran Status are required fields 1 Select the appropriate entry s from the Races box then click the mover button pointing right T
110. l Interface Division of Developmental Disabilities Division of Juvenile Justice Date Closed Save 8 Close the Case DHSS Behavioral Health Page 49 Client Status Review Path Client List Select or Create Client gt Activity List gt Outcomes gt CSR Prere quisite You must have Y Logged into the system Y Selected a facility Y Searched and retrieved an existing client record or created and saved a client profile if none existed AKAIMS v Completed a client intake Agency gt Client List Y Introduction ss Activity List Intake The CSR measures the level of client weit function in several different life domain Peren AK Screening Tool gt areas Questions 9 and 11 both deal with the client s financial domain One is for youth and the other is for adults One or the other will be displayed as a dark yellow required field depending on the age of the client As the responses are recorded you will see the generation of a score Some questions intentionally have no score e g 16 asking if the client has children under 18 The client will lose 10 points if custody of the children has been lost The client will regain those points if they have regained custody and stayed in compliance with custody requirements Assessments gt Admission gt Notes gt Treatment gt Outcomes GPRA gt identifying Info General 1 General 2 General 3 Post Discharge Pri
111. lationships Disclosure Consent Client Consent List Client Disclosure Agreement Referral Client Referral List Client Referral Screen DHSS Behavioral Health Page 5 Navigation Guidelines Introduction AKAIMS Alaska Automated Information Management System is an internet based data collection and reporting system sponsored and hosted by the State of Alaska AKAIMS allows behavioral health providers of substance use and mental health treatment services to record information related to agency and client management AKAIMS facilitates easy online compliance of State and Federal data reporting requirements It is grouped into Modules by major areas of information or clinical process Each module has a set of screens screens have fields and fields have values The set of modules are organized in two broad categories as follows Agency Management Organizational details and management state agency provider agency AASA Facility programs services management Staff management Administrative reports Client management SANSS Profile Non episode contact Intake Wait list Treatment team Screening Assessment Admission Notes Encounter Treatment plan Treatment review Outcomes GPRA amp status review Discharge Consent Referrals Clinical reports User Manual v2 T o DHSS Behavioral Health Page 6 AKAIMS Menus The AKAIMS main menu appears in the far left column of the screen First
112. le Client Screening DENS ASI Assessment DENS ASI Lite Discharge GPRA Assessment v i e Other Event OE exp e Crim Just Cond Consent Expires Upon A Discharge UD Days e Date Signed DS Days CJC Ex Description Disclosure Selection Comments Other agay DHSS Behavioral Health Page 122 __User Manual v2 0 _ 12 Description This field becomes required only if the Other Event or the Crim Just Cond radial buttons Client Information Options Consent Expires Upon Disclosure Selection are selected when attempting to Admission pischarge uD Days i s AK Status Review move items from the Client Peine e Date Signed DS Days gt Information Options list box to Behavioral Health Assessment ee ee the Disclosure Selection list box eee ae exe lt Client Information Profile E e C Cond Client Screening DENS ASI Assessment entered in this text box DENS ASI Lite Description Discharge GPRA Assessment DA Comments Other agay CJC Ex 13 Comments Comments may be 14 Disclosure Selection This section is populated in the following ways if there is an existing Disclosure Agreement between agencies this field will by default contain those items selected in that agreement and begin counting the days to expire from the value of the Consent Date field The field contents can be modifi
113. m 3 Note Type Select the appropriate Miscellaneous Notes for Doe John entry from the drop down list If you Ve i select the Missing Injured Deceased option the field Was Note Type Case Management ote E Report Sent to State becomes available for you to select the option Date 10 5 2007 of Yes or No Start Time 4 The Date will pre populate with the pe current date This can be changed as Duration ho needed Enter the Start Time End Frequency Daly Time and Duration Alert No Mark Alert Was Report Sent to State 5 To set an alert related to this Note click the blue Mark Alert link This will highlight the client s name in red on the Client List To remove the alert click the Remove Alert link 6 Write a one line Summary in the Summary text box This summary will be shown in the Notes List on the previous screen DHSS Behavioral Health Page 96 7 Write the detailed note in the text box for Notes There is unlimited space to type in this box 8 Depending on your needs clicking the indicated buttons produces the following results o Cancel Will return you to the Notes List screen with no new addition to the list o Save Will save the data you just entered Your screen will refresh and all fields will be grayed out o Finish Will save the Miscellaneous Note and you will be returned to the client s Notes List screen __ User Manual v2 0 _ Note Onc
114. mie Exponer Client Activity List screen tate of Alaska Administrative Facility O B Clie rint Report Print Mew o Previous Returns you to the General Questions Agency gt screens eee eee 2 15 During the past th ho ld te Pi During month how would you rate your sense eee gt of connectedness spirituality relationship with a higher Activity List power or meaningfulness of life Intake Wait List Do you have any children under the age of 187 Tx Team During the last six months have you lost custody of any of AK Screening Tool your children due to Office of Children s Services OCS gt 9 previously referred to as DFYS action or intervention A If you have previously lost custody of any of your children aS tees as a result of OCS previously referred to as DF YS action Admission be or intervention have you regained custody in the last Notes gt six months Treatment gt If you have previously lost custody of any of your children Outcomes as a result of OCS previously referred to as DFYS action GPRA gt or intervention are you now in compliance with your OCS CSR Y previously referred to as DFYS Plan identifying Info General 1 Question Hints General 2 Post Discharge Print Version Discharge gt Consent Referrals Episode List System Administration DHSS Behavioral Health Page 53 CR rte rte tr trea ire eee eet Ce oem a o do e e e Ad AKAIMS User Manual v2 0
115. minimum if you can obtain the name of the individual in an emergency you can create a record and then do the referral Client Profile screen If Gender is not known you can select Unknown from the drop down list box DDLB If DOB is unknown you can enter a fake date of 1 1 1900 If SSN is unknown you can enter 999 99 9999 If Medicaid is unknown you can enter N A Races Ethnicity Special Needs Education Status and Veteran Status all have an unknown option Intake Case Information screen Complete only the dark yellow fields Each DDLB has an option of unknown no response not applicable not collected OR other Once the Client Profile and Intake Information screens are completed you can proceed to Consent Referrals DHSS Behavioral Health Page 145 __User Manual v2 0 _ Module General Issue What are the Hardware Software and Internet Requirements for AKAIMS Solution Software Operating System Widows 2000 Professional or Higher Virus Software Any providing it s is a current version with updated definitions a Browser Internet Explorer 6 0 or above you can download for free at http www microsoft com windows ie downloads default asp Adobe Acrobat Reader 5 0 or higher for displaying and printing reports Hardware CPU 266 MHz or Higher RAM 64 MB or Higher Internet An internet connection is required such as dial up broadband cable DSL wireless or LAN T1 T3 etc
116. n of the individual receiving alcohol and or substance abuse T1010 Meals for individuals receiving alc amp or sa services when meals aren t included in the program T1012 Alc and or substance abuse services skills development T1018 Sign language or oral interpreter for alc amp or substance abuse services T1016 Case Management DHSS Behavioral Health Page 138 User Manual v2 0 Appendix C FAQs Module Client Profile Issue In the past we had a work around for when a client would not provide a SSN do we now have to go back and change all of these fake SSN to 999 99 9999 Solution No but once the 999 99 9999 enhancement goes live in October 2007 you need to start using it You should keep a record of the work around that your Agency used prior to October 2007 so that you can easily determine who has fake SSN entered Module Client Search Issue There are clients whose name appears in red font on the Client Search screen What is causing it and how do I remove it Solution 1 Log into AKAIMS as usual 2 Click on Client List from the left menu 3 Click the blue oval Go button you will now see a prompt just above the green Client Search bar informing you that Clients whose names are in RED are clients who currently have active alert notes 4 In the Client List screen click on Activity List under the Actions column on the same line where you see a client s name in red Click on Notes from the left men
117. ncy by default Disclosed To Agency Populated with a list of agencies that use AKAIMS If it becomes necessary to disclose client information with agencies that are not in the DDLB you must select Non System Agency Eliot eis org AKAIMS Microso interner xplorer ARKAIMS Home Page Agency gt Client List Y Client Profile gt Non Episode Contact Activity List Intake Wait List Tx Team AK Screening Tool gt Assessments gt Admission gt Notes gt Treatment gt Outcomes gt Discharge gt Referrals Episode List System Administration gt My Settings gt Reports Client Disclosure Agreement Entities with Disclosure Agreements Disclosed To Agency Disclosed To Entity Non System Agency Ly Print Report Print Mew Non System Agency v Purpose torgacosuel aaa Consent ote OEA T Has the client signed thelNo El paper agreement form Client Information Options Admission AK Status Review ATR Interview CASI Scores Client Information Profile Client Screening DENS ASI Assessment DENS ASI Lite Discharge GPRA Assessment a Behavioral Health Assessment gl Consent Expires Upon e Discharge UD Days a Date Signed DS Days Other Event OE Ex a A Crim Just Cond TK Exel Description CJC al 3 E Disclosure Selection Comments Other Disclosures DHSS Behavioral H
118. nt List Y 1 Select the appropriate values from the Legal Status box and click the right pointing arrow This will place your selection in the Selected Legal Status box To remove a selection from the Selected Legal Status box highlight the selection and click the left pointing arrow 2 Remaining text boxes Indicate the number of incidences as appropriate to the question by typing in a number in the appropriate text box __ Client Profile gt Non Episode Contact Activity List Y Intake Wait List Tx Team of Arrests in Lifetime a Screening Tool of Arrests in Past 12 Months of Arrests in Past 30 Days Assessments gt Admission Profile FinancialHousehok Youth ASAM Diagnosis Program Enroll DHSS Behavioral Health Page 78 AKAIMS User Manual v2 0 3 Depending on your needs clicking the indicated buttons produces the following results o Cancel Will take you back to the client Activity List screen o Save Saves the Legal screen contents o Finish Saves the screen contents and takes you back to the client Activity List screen o Previous Will take you NE E back to the Substance Liat Rake Rabbe TASO DET casa Print Report Print lew Abuse screen o Next Saves the screen contents and takes you to the Assessment Scores screen of Arrests in Past 12 Months of Arrests in Past 30 Days DHSS Behavioral Health Page 79
119. nt Version Discharge gt Consent Referrals Episode List System Administration gt User Manual v2 0 Elio lote lora AALS Microsotintermnerxpioren nistr Print Mew Client Status Review List Click the CSR menu item DHSS Behavioral Health Page 50 1 From the Activity List select Outcomes and then select AK Status Review which will take you to the AK Status Review List screen If you have completed any reviews previously you will see them listed here 2 Click the Add New AK Status Review Record link to create a new review You will be placed in the Identifying Info screen the first of four related screens Note If you accidentally select the wrong client do NOT click the close button at the top right corner The close button red X will close your browser and lock you out of the session Use the menu at the far left to return to Client List Note As a Condition the Grant Award all agencies receiving grants from the Division of Behavioral Health are required to complete a Client Status Review CSR on every client at intake every 3 months for children 6 months for adults and at discharge Eliot ves org AMAL Microsoit Interior e culos AKATMS ioc State cf Alaska Administrative Facility Print Mew Home Page J Client Status Review List Agency gt Client List Y Client Profile gt Non Episode Contact Activity List Intake Wait List moe Click the A
120. nters are required to identify activity as outlined in some of the quarterly report questions Demo provided Refer to the Minimal Data Set Requirements document found on the support site in the following location http support akaims org training htm Understand that there is a need for a group notes module The AKAIMS team is aware of this and it will be developed in the future The Encounters screen is slow and cumbersome Is there a way to enter a Service Code Description without having to use the DDLB Solution a Issue No but you can select the first letter or number of the Service Code Description and the DDLB will populate with the first instance of the letter or number It has been discovered if you type the Service Code Description very quickly that it will go directly to it An issue has been logged in the AKAIMS issue db under the Change Request enhancement category for future discussion prioritization and consideration Is there an easier way to populate the Program Name on the Encounters screen Solution a You can select the first letter of a Program Name that you know exists in the Program Name DDLB and it will populate the DDLB with a Program Name where the first instance of the letter DHSS Behavioral Health Page 143 User Manual v2 0 Module Consent Referrals and Disclosures Issue What happens if the client does not consent to release information to AKAIMS State Solution a DBH Grantee Pr
121. oduces the following results elias lesa og ACAI Merosufe Interior Explorer O Cancel Will take you back AKAINS ae n ae Eb gt to the client Activity List ien Print Report Print Vew screen Home Page A Admission Profile See Agency gt F o Save Saves the Admission Client List screen contents aap RAN B 5 5992 o Finish Saves the Activity List Y Basis for Decision A d pS r Intake Potential Client for SA Yes Based on Screening Treating Here For mission screen contents Wait List Potential Client for MH Yes EA Based on Screening Est Duration of TX days and takes back to the client s Tx Team Potential Client for TBI No YA Based on Screening foes AkSen Tool Activity List screen a new ai ii a t ill h b dei ae ded a entry will have been made in a a eden co NETA L sabe the Client Activity List for Admission Staff Admis sion Foci Screening Admission for No Concerned Person o Next Saves the screen Sans a a of Prior SA TX Admissions o Client Reported Health Status Unknown EZ contents and takes you to d pr ia he F l Inf d ase Bowes Fol Non Nerpio o Mental Health Problem the Financial Info an a a ae of Prior MH TX Admissions o Pharmacotherapy Planned Yes E Household Composition Erica of Prior MH Hospitalizations 0 Functional Assessment Done screen aa Team of Months Since Last Discharge On Psychotropics Yes E Treatment gt outcomes a gt D gt PD Discharg
122. ontact Activity List Y Intake Wait List Tx Team AK Screening Tool gt Assessments gt Admission gt Notes Y Misc Notes Encounters Y Profile Please specify the service provided from the following choices Services Medical psychiatric and mental health services Educational vocational Social Support and community based services Trea to Related assessments Treatment Planning Designated case manager for children only Post discharge follow up activities Outcomes gt Fully describe how you assisted the recipient and or the recipient s family in the access and coordination of the identified Discharge gt case management service s Consent Referrals Other clinically relevant information Episode List System Administration gt My Settings gt DHSS Behavioral Health Page 101 aa User Manual v2 0 OS AAA AAA AAA E E x m 3 Depending on your needs clicking the indicated buttons produces the following results o Cancel Will take you back to the client s Treatment Encounter List o Save Saves the Encounter Notes screen contents o Finish Will save the Encounter Notes screen and you will be taken back elias lesa ors ACAI Microsot Interior Explorer JE3 to the client s Treatment Encounter List screen ARAS O E E panes Help Logout The goals or objectives you selected will be listed under Agency gt Client List Y the Associated Goals or ae Associated Objectives Non
123. or Explorer e Wi ANIS e Fes o Cancel Will take you back M ee Print Report Print ew Help Logout to the client Activity List a screen Agency gt lam Client List ni o Save Saves the Financial AE NE Employment Status E Pimayncomwese p Info and Household Non Episode Contact l Months Emp in Last 6 Months Expected Payment Sre B Composition screen e y Employer InsuranceType p contents Wait List Occupation a Tx Team Annual Household income EA o Finish Saves the screen AK Screening Tool gt Other In Sou Other in Sources Selected contents and takes you back TE lt come Sources J come Sources to the client Activity List Admission Alaska Native Corp Dividends screen H Alimony i E FinanciavHousehok o Previous Will take you Youth H sition Substance Abuse a back to the Substance vo sr ties MartalStatus D Abuse screen Assmt Scores Living Arrangement of People Living with Clent N t S th of Children in Residential Setting of Children in Ho sehi o ext Saves the screen E E a cae gt contents and takes you to Relation to Client Living with Client the Youth Admission Auntis Brother s screen Daughter s al DHSS Behavioral Health Page 70 AKAIMS User Manual v2 0 Youth Admission Note Use the Add School Contact hyperlink to add the details of the School Contact in the Client Profile Path Client List gt Activity List gt Admission gt Youth
124. ors Alc amp or drug prevention environmental service external activities for modifying systems to main stream thru policy law Alc amp or drug prevention problem ID and referral service student amp employee assistance excluding assessment DHSS Behavioral Health Page 137 __User Manual v2 0 _ H0029 Alc amp or drug prevention alternatives service services for populations that exclude alcohol and other drug use e g alcohol free social events H0030 Behavioral health hotline service H0031 Mental Health assessment by non physician H0033 Oral medication administration direct observation H0047 Alc amp or other drug abuse services not otherwise specified H0048 Alc amp or other drug testing collection and handling only specimens other than blood H2012 Behavioral health day treatment per hour H2034 Alc amp or drug abuse halfway house services per diem H2035 Alc amp or drug treatment program per hour H2036 Alc amp or drug treatment program per diem H2037 Developmental delay prevention activities dependent child of client per 15 min NONE None OTHM Medicaid service see progress notes 9484 Crisis intervention mental health services T1006 Alc amp or substance abuse services family couple counseling T1007 Alc amp or substance abuse services treatment plan development and or modification T1009 Child sitting services for the childre
125. oup chair The work around allowed for the creation of a fake client record of EMERGENCY CONTACT and then Emergency Services activity would be captured on the Non Episode Contact screen Enter one client with the name Emergency Contact and create dummy information in the initial Client Profile screen Do not start an Episode Admission or Program Enrollment Enter contact information in the Non Episode Contact screen UNLESS Ata minimum if you can obtain the name of the individual in an emergency you can create a record Client Profile screen If Gender is not known you can select Unknown from the drop down list box DDLB If DOB is unknown you can enter a fake date of 1 1 1900 If SSN is unknown you can enter 999 99 9999 If Medicaid is unknown you can enter N A Races Ethnicity Special Needs Education Status and Veteran Status all have an unknown option Complete only the dark yellow fields Each DDLB has an option of unknown no response not applicable not collected OR other Once the Client Profile and Intake Information screens are completed you can proceed to Consent Referrals DHSS Behavioral Health Page 141 User Manual v2 0 Module Intake Issue How do you capture more than one Source of Referral in the Intake Case Information screen Solution The Source of Referral DDLB will allow only one selection and should be used for the primary source of referral You can input additional information in
126. oviders are required to complete AKAIMS minimal data set demographics for all Program Types that are DBH Grant and or Medicaid funded Issue What constitutes a referral Solution Behavioral Health SA MH and MH SA treatment There may be times when you hear of referral to housing referral to employment etc This does not constitute a referral a Formal referral for Behavioral Health treatment Issue Can you please go through that area of AKAIMS and indicate the required fields and the proper usage of this area in AKAIMS Solution Demo provided Can also refer to Minimal Data Set Requirements document The Referral screen will be more user friendly in the next release of AKAIMS AKAIMS Agency Relationships Disclosure agreement is an online form comparable to Qualified Service Organization Agreement sample form is set forth in CSAT SAMHSA s TAP 24 Appendix B 5 If this is something that you currently do at your Agency this is where you have the capability to replicate in AKAIMS It is not to serve as a replacement to a signed hard copy Qualified Service Organization Agreement AKAIMS Consent screen is comparable to the Release of Information ROD sample form is set forth in CSAT SAMHSA s TAP 13 page 17 This screen must be completed prior to creating a Referral It is not to serve asa replacement to the signed hard copy ROI form Issue How far back do we need to go back to enter the referrals Solut
127. r less han 1 day a month 4 Dering tha paat oh mentha acs elses monte t how many times have you used emergency medical services such as the hospital emergency the emergency medical cal technicians or health aides for physical substance abuse or mental health problems Sixor mere times CoG Faena Two or three times O Only once O Never Which of the following statements is true about your thoughts regarding suicide or hurting yourself 1 have otempted or have a plan O Ithink about it most of the ime O I sometimes think about O 1ravely think about it O Inever think about A In the last month how often have you used alcohol O Usually every day O 25 caysaweek O 5 10 tmes amonth O 1 2 tmes a mon gt I dont use gr Clean end Sober for Dengh of time ia the est month how often have you used Ilegal drugs for medications not as prescribedidirected every day O 25caysaweck 5 10 6mes amorth O 1 2 imes amor x DHSS Behavioral Health Page 52 OU UZIbtt iON ni Ii I I iI_ gt II IIII aN ace O AKAIMS User Manual v2 0 8 Depending on your needs clicking the indicated buttons produces the following results o Cancel Will take you back to the Client Activity List screen o Save Saves the AK Status Review screen contents o Finish Will save the AK Status Review screen and you will be taken back to the ims Ore WAL Microsotinte
128. r an inaccurate Homo Pega Client Profile SSN you may go back and correct it Ecol FirstName S Maiden Name ist i lt without creating a new client or ient Profi Y O A Last Name TT AKAMAS Client D losing any information on the client pri Gender Record Created By Walker Michael If the SSN is not provided or is Contact Info Last Updated By unknown users should enter 999 oe wears Other Numbers Last Updated Date 99 9999 History Drivers License ae wedi sd 7 Medicaid Enter the actual ae sed Has paper fle Yes E Medicaid number If it is unknown System Administration gt O Y wD or there is none enter N A iapa uaii Reports 8 Maiden Name Enter the client s or the mother s maiden name If the maiden name is unknown enter None Addresses DHSS Behavioral Health Page 30 AKAIMS 9 Depending on your needs clicking the indicated buttons produces the following results o Cancel Brings you back to the Client Search Client List screen populated with the results of your previous search o Save Saves the Client Profile screen contents and populates the following gray fields AKAIMS Client ID e Record Created By e Last Updated By e Created Date e Last Updated Date o Finish Brings you back to the Client Search Client List screen populated with the results of your previous search o Next Saves the screen contents and takes you to the Alternate Names sc
129. reements are useful in that they allow for the establishment of a relationship between agencies with a view towards the future collaboration of treatment and ease the sharing of client information These relationships once set up can be revoked or modified to suit the users needs 1 Click the Add Agency Disclosure Domain Record link 2 This will open the Agency Disclosure Domain screen Home Page Agency Y Agency List Y Agency Profile gt Aliases Contacts Governance gt Relationships Y Collaborative Announcements Referrals gt Wait List Facility List gt Staff List gt Tx Team Groups gt Non Staff Physicians gt Staff Usage Client List gt System Administration gt My Settings gt Reports Agency Disclosure Domain List Agency Name State of Alaska State of Alaska State of Alaska State of Alaska State of Alaska WestatT est Agency Rik s new test agency T Hece o AE Review Delete Review Delete Review Delete Review Delete Click the Add Agency Disclosure Domain Record link DHSS Behavioral Health Page 130 Disclosing Agency This drop down list box DDLB will populate with the name of the agency to which you are logged into Select the name of the agency from which disclosures are to be made Receiving Agency The Default setting for this field is Global Policy or Non System The DDLB will contain a listing of all agencies
130. reen er reer ee iii ree reer ee re ern elias lesa ors AAI gt erosufe Interior Xplorer AE Home Page Agency gt Client List Y M Alternate Names Additional Information Contact Info Collateral Contacts Other Numbers History Non Episode Contact Activity List gt Episode List System Administration gt My Settings gt Reports Print Report Print ew Provider Ciento OOOO O O AKAIMS Client ID M5S95991S995100 Record Created By Walker Michael Last Updated By Walker Michael Created Date 9 26 2007 11 43 Al Last Updated Date 10 4 2007 9 44 AM DHSS Behavioral Health Page 31 Alternate Names Path Client List gt Client Profile gt Alternate Names Prerequisite You must have Y Logged into the system Y Selected a facility Y Searched and retrieved an existing client record or created and saved a client profile if none existed Introduction Enter any other names the client uses These names may be collected from the client their driver s license Social Security Card or other form of ID Collect as many names as you can to ensure they are not entered in the system as a new client Ina later Client Search these could assist in locating the correct client profile avoiding the possibility of creating duplicate clients 1 Click the Add Alternate Name field becomes yellow link This will refresh the Alternate Names scr
131. referral If Other Specify If Other is selected in the Contact Reason field this field will become active otherwise it is grayed out If editable enter appropriate text for this field Location Select an appropriate entry from the DDLB Contact Type Select an appropriate entry from the DDLB Duration hrs Enter the number of hours for the contact this field will not accept fractions of hours whole numbers only Severity Rating Select an appropriate entry from the DDLB Created Date this field auto populates with the current date and time Follow Up Steps Select an appropriate entry from the list box and move the item s to the Follow Up Steps Selected box by clicking the mover button pointing to the right User Manual v2 0 ARKAIMS Home Page Agency gt Client List Y Client Profile gt Activity List gt Episode List System Administration gt My Settings gt Reports Eliot eis ors ALADO Micosot interner ploren E lt Print Mew ska dministrative Facility Non Episode Contact Note for Silly Rabbit conac omte OA Toe nnn Conc Renson Or E If Other Specify Referral eT E Referring Agency consa Oop Referred By First Name _ T Referred By Last Name Referred By Phone ii A Duration hrs z Severity Rating y Created Date 10 4 2007 12 00 AM zm oS Follow Up Steps Selected
132. retrieved an existing client record or created and saved a client profile if none existed Introduction There are several fields that are required to meet reporting requirements A new client will not have had a previous Intake completed while a previously served client may have one Intake is the beginning of a new treatment episode Using the AKAIMS Client ID all records associated with this course of treatment are logged to produce a history of care 1 Select Episode List from the navigation menu on the left of the screen This will take you to the Episode List screen for the new client 2 Click the Start New Episode link Elise ors AKAIMS Micosot Interior Zen lorsy ARKAIMS Home Page Episode List for Silly Rabbit Agency gt CEE Open Active Administrative Facilty Walker Michael Client Profile T 1 Non Episode Contact Activity List gt System Administration My Settings gt Reports Click the Start New Episode link ala a Help Logout DHSS Behavioral Health Page 46 3 When your screen refreshes you will be taken to the Intake screen Some fields will be pre populated Intake Facility Intake Staff Case Status and Intake Date These fields can be changed to suit the user s needs Check the information in the top portion of the screen and edit if appropriate Select or enter appropriate information Initial Contact will usually be by Appointment unless a client has an
133. rts Program Name Service Location Emergency ICD 9 Diagnoses for This Treatment User Manual v2 0 Print Report Print Mew Primary Secondary Tertiary Rendering Staff Supervising Staff Referring Phys Released to Billing No Administrative Actions ses amp Release to Billing DHSS Behavioral Health Page 100 ee AKAIMS Encounter Note 1 On this screen you can select the Goals and Objectives from the treatment plan that was addressed in this session If you are not currently using the Treatment Plan in AKAIMS you must be sure to include in your narrative a discussion of all the objectives and interventions you covered in your session along with other necessary narrative elements To add a Goal or Objective click the Add Goals or Add Objectives link You can select the relevant goals or objectives by clicking the box to the left of the appropriate goal or objective Write a detailed Narrative in the text box provided The Narrative box will contain some prompts about appropriate note content depending on which of the note types you selected on the top of the previous screen elias lesa ors ACAI Microsot Interior Explorer E efx AKAIMS pe Mimina RE Fete E gt 2 Print Report Print Mew Help Logout Eei E Client List Y Client Profile gt Associated Goals Non Episode C
134. s o Cancel Brings you back to the Client Profile screen with no changes being made to the Additional Information screen o Save Saves the Additional Information screen contents o Finish Brings you back to o E o the Client Profile screen elos aora AO gt Merosofe Interior Exponer Ea jx Note that the gray Last ONIS e j k 2 A Updated By and Last Clien 5059915995100 Print Report Pirk ew Help Loaout Updated Date fields are z Agency b Races changed eq 40 EE o Previous Brings you back Client Profile Y Alternate Names to the Alternate Names screen Contact info Collateral Contacts o Next Saves the screen ciber contents and takes you to History Non Episode Contact the Contact Information AS screen Episode List System Administration My Settings gt ae Engish Fluency Excelent E Education Primary Language E Veteran Status Neverin itary D interpreter Needed Citizenship DHSS Behavioral Health Page 36 Add Collateral Contacts Path Client List gt Client Profile gt Collateral Contacts Prerequisite You must have Y Logged into the system Y Selected a facility Y Searched and retrieved an existing client record or created and saved a client profile if none existed Introduction This screen is where you can document the details about all people associated with the client who are outside the agency 1 Click th
135. s al Based on Screening Tx Team Potential Client for TBI No E Based on Screening AK Screening Tool gt Client T Assessments gt yee mess Admission Type Change ins Admission Staff Screening Admission for Concerned Person A Youth Substance Abuse Legal Assmt Scores ASAM Diagnosis Program Enroll Treatment Team Notes gt Treatment gt Outcomes gt Discharge gt of Prior SA TX Admissions o of Non TX SA Related Hospitalizations in Past 6 Months of Prior MH TX Admissions o of Prior MH Hospitalizations o of Months Since Last Discharge Home Page tal Agency gt ae Client List Y Ref Client Profile gt Non Episode Contact Activity List or Decision Intake Potential Client for SA Yes al Based on Screening aan Ye E Print Report Print Mew Help Logout Treating Here For Est Duration of TX days Client Reported Health Status Unknown Mental Health Problem Pharmacotherapy Planned Functional Assessment Done On Psychotropics DHSS Behavioral Health Page 66 RR AAA A AKAIMS 7 User sor Manual v2 1 0 11 Clients Reported Health Status choose one item from the drop down list 12 Pharmacotherapy Planned choose yes or no from the drop down list 13 On Psychotropic choose yester now from the drop down list 14 Depending on your needs clicking the indicated buttons pr
136. s the Client onda A gt ic Profile screen contents bb NOS Oan Sahi Middle Name Provider Client ID This is used if any profile ET AKAIMS Client ID MSS9S99IS9I5100 items have been altered In Additional Information Record Created By Walker Michael this case Save will change posit Last Updated Ay Collateral Contacts Created Date 9 26 2007 11 43 AM the Last Updated By and Other Numbers Last Updated Date 10 4 2007 9 44 AM History the Last Updated Date ps ANT fields Activity List gt Episode List o Finish Brings you back to oe Gel GS Gem GED x E y ings the Client Search Client Reports List screen populated with the results of your previous search o Next Saves the screen contents and takes you to the Alternate Names screen DHSS Behavioral Health Page 28 Add Client Path Client List gt Client Profile Prerequisite You must have Y Logged into the system v Selected a facility Y Searched for a client record Introduction If your search results indicate that the client previously been entered you can add a new client record 1 youre working with has not New clients can be added via the Client Search Client List screen To do this click the Add Client link This will open the Client Profile screen with blank fields you will complete for the new client All fields highlighted yellow are required as part of the minimal data set A a cn aa ye No
137. screen o Save Saves the Discharge Profile information o Finish Will save the Discharge Profile screen and _ _ you will be taken back to the Atos pakannisxt WOAIINS Merosore Interior Exponer Client Activity List screen AKAIMS Print Report Print Mew Help o Next Saves the screen contents and takes you to Home Page Agency gt Client List Substance the Treatment Summary screen Client Profile gt Non Episode Contact Activity List intake Wait List Tx Team AK Screening Tool gt Assessments Admission gt Notes gt Treatment gt Outcomes gt Discharge Y Profile Legal Status Diagnosis Tx Summary Consent Referrals Episode List a gee a a Ie wa Tertiary Not Applicable WA E of DAYS since LAST use of the substances indicated above Primary _ Secondary 1 Tertiary i Was Methadone Maintenance Part of TX cirios Use Tobacco Discharge Status Treatment Post Discharge Case Management ys E of Days i prgross E Was a family member involved mMm El Was Concerned Person Involved Codependent Collateral No E Psychiatric Follow up System Administration gt My Settings gt DHSS Behavioral Health Page 116 AKAIMS Treatment Summary The Presenting Problem will pre populate from the Intake module Answer the questions at the top of the screen as appropriate Fields highlighted in light yellow are required for
138. sert mode This mode allows you to make entries into most fields in the screen and save them to the database When you select a screen from a menu click next or use a hyperlink to navigate to a screen you are usually in this mode View Sometimes AKAIMS will not allow the user to modify any information in the screen This is usually done to protect data integrity When you enter a screen in this mode all fields will be read only and grayed out An example of this is the Announcement screen Search Some list screens will allow the user to perform searches based on criteria When in Search mode you will usually see a Clear and a Go button rather than Save Cancel Finish The Client List is an example of this feature User Manual v2 0 o Note The view mode is also used in some cases where the user is adding data to a table on the same screen Examples of this include the addition of phone numbers addresses and alternate names In these cases the Add links are used to move the user from view to insert mode mre Middle Name Last Name Marley S Gender Male vos eiengsz Fields where data can be inserted Created 9 13 2007 10 31 AM Updated 9 13 2007 10 31 AM Fields where data can be viewed but not edited Client Search Agency State of Alaska Facility v First Name A Last Name A o ie ss os ciento Provider Client ID Staff Primary Care Staff Case Status All Cl
139. st Client Profile gt Non Episode Contact Activity List Y Intake Wait List Tx Team AK Screening Tool gt System Administration gt My Settings gt Reports User Manual v2 0 Print Report Print Mew Selected ie Status of Arrests in Past 30 Days O DHSS Behavioral Health Page 108 AKAIMS User Manual v2 0 5 Depending on your needs clicking the indicated buttons produces the following results o Cancel Will take you back to the Client Activity List screen o Save Saves the Discharge Legal information o Finish Will save the Discharge Legal screen and you will be taken back APS Sie akan pore rane UMerosore torio losas BAA to the Client Activity List AKAIMS pr Jmintstrativa Facile Fe E screen Clien Print Report Print Mew Help Logout o Previous Saves the screen Home Page Agency gt contents and takes you to Client List eae o al the Discharge Profile ES Non Episode Contact screen Activity List Y Intake o Next Saves the screen o x Team E F 7 contents and takes you to AK Screening Tool gt of Arrests in Past 30 Days E the Status screen Tx Summary Consent Referrals Episode List System Administration gt My Settings gt DHSS Behavioral Health Page 109 A eee niin eerie rr nr AAA AAA eter ttre na AKAIMS Status This screen allows the user to compare admission and discharge information for various domains of
140. t gt Activity List gt Admission Diagnosis Prerequisite You must have Y Logged into the system Y Selected a facility Y Searched and retrieved an existing a Hips jtestzakaims org uli Me rozo t Ineoriioe Exponer client record or created and saved a A k g amp Sta dministrative Facilit client profile if none existed AVIS Client Silly Rabbit M55959 00 Case Print View a E Client Profile gt Non Episode Contact f T T 1 f i Introduction pres By selecting the diagnosis at the bottom of aid the screen you may populate the upper ne table Select the Axis in the Select Diagnosis gt scarce nag tania Level The Select Edit Diagnosis box will eS appear where you can select the specific Seis diagnosis for that Axis You may have multiple AXIS I II II and IV but only one AXIS V 1 Click the Add New Diagnosis Level link Click the Add New Diagnosis Level link Y Completed a client intake episode noma oe e RI hana DHSS Behavioral Health Page 83 Select Diagnosis Level Select the appropriate entry from the drop down list This will make additional fields available to further define the client diagnosis elias lesa org AAI Microsot Interior Epionen AKAIMS Agency gt Client List Y Client Profile gt Non Episode Contact Activity List Y Intake Wait List Tx Team AK Screening Tool Select Diagnosis Level E L Assessments gt Admission Y Profile Financi
141. t lt AKAIMS User Manual v2 0 Controls Textbox Text boxes are designed to allow FF A Drivers License the user to enter data in manually Some J E Ed j text fields have specific formats which must be used DOB Date mm dd yy SSN nnn nn nnnn Phone Number nnn nnn nnnn Scrolling textbox Scrolling text boxes are used to capture notes and descriptions A scrolling text box allows the user to enter at least 500 characters Some have no character limits An example of a scrolling text box is often a Comment field as Drop down box A drop down box is used when only one entry may be selected from a list of values Mover Box A mover box is used when more than one entry may be selected from a list of values Some may scroll Select an option from the left hand box and move it to the Selected box on the right by clicking f on the arrow that points right os ol Mover Box with Radio Buttons The i 7 vate Signed DS pays gt user selects an option with a single left crol Assessment E Other Event0E y z click Before selecting the mover arrow Client Information Profile C crim Con they must select an option using the radio Client Screening elo Exe buttons located between the boxes i Description DHSS Behavioral Health Page 11 2 0 l User Manual v Messaging
142. t 12 months Do you often have difficulty sitting still and paying attention at school work or social settings Do disturbing thoughts that you can t get rid of come into your mind Do you ever hear voices or see things that other people tell you they don t see or h Do you spend time thinking about hurting or killing yourself or anyone els Have you ever tried to hurt yourself or commit suicide Select Yes No or No Response Do you feel trapped lonely confused lost or hopeless about your future Do you feel dissatisfied with your life and relationships Do you have nightmares flashbacks or unpleasant thoughts because of a terrible event like rape domestic violence incest unwanted touching warfare a bad accident fights being or seeing someone shot or stabbed knowing or seeing someone who has committed suicide fire or natural disasters like earthquake or flood Do you have difficulty sleeping or eating Have you physically harmed or threatened to harm an animal or person on purpose DHSS Behavioral Health Page 58 A User Manual v2 0 NN A AKAIMS 3 Depending on your needs clicking the indicated buttons produces the following results Oo Cancel Will take you back to the client s Client Activity List screen Save Saves the Substance Abuse Screening screen contents Finish Will save the Substance Abuse Screening screen contents and you will
143. t Information Profile Client Screening DENS ASI Assessment DENS ASI Lite Discharge GPRA Assessment a gl Consent Expires Upon e Discharge UD Day E Date Signed DS Days El Other Event OE Ex e C crim Just Cond E Exel j Description CJC Disclosure Selection aa 2 Help Logout Comments Other Disclosures DHSS Behavioral Health Page 121 11 Consent Options An expiration date must be associated with EACH body of data selected for consent Select the option in the left hand box click on the appropriate choice from the Consent Expires Upon options and then click on the right pointing arrow to move the selections to the right hand box Remember that if you hold down the ctrl key you may select more than one option at a time o Discharge The consent will expire based on the date of discharge the number of days entered You may enter 0 here o Date Signed The consent will expire based on the Consent Date the number of days entered You may enter 0 here o Other Event The consent will expire based on some specified event The user must specify the date of expiration and fill in the Description box o Criminal Justice Condition The consent will expire based on a criminal justice condition The user must specify the date of expiration Behavioral Health Assessment CASI Scores Client Information Profi
144. te If you enter an inaccurate SS you may go back and correct it without creating a new client or losing any information on the client The AKAIMS Client ID requires that you have the correct last 4 digits of the SS in order to avoid possibly linking the information to someone else Elisa alud ALAS Microsot interner xplorer AKAIMS Lael Sree Asai Aaa rate F i Print Mew Home Page Client Search Agency gt a Agency State of Alaska Facility Client Profile gt i Last Name Non Episode Contact os SSi Provider Client ID System Administration gt y Primary Care Staff My Settings gt Reports User Manual v2 0 DHSS Behavioral Health Page 29 pea e ee User Manual v2 0 2 First Name Enter the client s first Note If you enter an inaccurate SS you may go back and correct it without name creating a new client or losing any information on the client The AKAIMS Client 3 L st Name Enter the cients lack ID requires that you have the correct last 4 digits of the SS in order to avoid tame possibly linking the information to someone else 4 Gender If you enter Female Maiden Name becomes a required yellow field see Maiden Name below 5 DOB Date of Birth MM DD YYYY or MM DD YY OO Elio leal ore AALS Microso Interior S lt olorsy 6 SSN Social Security Number PENIS 7 The system automatically adds gt hyphens If you ente
145. te entry from the drop AK Screening Tool down list gt zg Other Income Sources 3 Other Income Sources Selected ES None 10 Living Arrangement Living ae Arrangement is about where the irarciamausanok client lives and not with whom they Household Composition p Marital situs si live Select the appropriate entry Living Arrangement p of People Living With Client from the drop down list of Children in Residential Setting of Children in Household 11 N b fP l Li g With of Children in Residential Setting Receiving Services umber o eople Livin 1 Relation to Client Living with Client Client Enter a numeric value Aura rother s 12 Number of Children in i peame Residential Setting Refers to al Ga E GP Es Pp mmm children living in a residential treatment setting with a parent who is the client Enter a numeric value DHSS Behavioral Health Page 69 A AAA A a A A A ES OO OO AKAIMS User Manual v2 0 13 Number of Children in the Household Enter a numeric value 14 Number of Children in a Residential Setting Receiving Services Refers to children living in a residential treatment setting with a parent who is the client and the child is receiving services Enter a numeric value 15 Depending on your needs clicking the indicated buttons produces the following results Elio letal ors ACAI Microso Interi
146. that are using AKAIMS Select from this list the agency to which you will be disclosing client information Receiving Entity Non System Agency If the receiving agency is not in the system enter the name of that agency here Global Policy Available to All Agencies Choose Yes or No the default setting for this field is Yes Always Verify Consent Choose Yes or No Elise org Agency consentPolicy MMerosofe Interior Bee lorsr ael A KA IM S 4 ka Administrative Facility User Manual v2 0 aan E g Print Mew Help Logout Home Page Agency Disclosure Domain cunda Disciosing Agency Agency List Y Agency Profile gt Receiving Agency Global Policy or Non System Aliases Receiving Entity Non System Agency Contacts A A a i Global Policy Available To All Agencies Relationships Y Always Verify Consent Collaborative Announcements Poea AK Status Review r Wait List ATR Interview A Disclosure Domain Selection Consent Options Consent Expires Upon Admission Discharge uD Days Date Signed DS Days Facility List gt Behavioral Health Assessment a Staff List gt CASI Scores Client Information Profile Tx Team Groups gt Non Staff Physicians gt Staff Usage Client List gt System Administration gt My Settings gt Reports DHSS Behavioral Health Page 131 8 Consent Options Select the it
147. the indicated buttons produces the following results o Cancel Will take you back to the client Activity List screen o Save Saves the Assessment Scores screen contents o Finish Saves the screen gt E contents and takes you back Elias esta org AKAIMS Microso interner Explorer to the client Activity List AKAINS Se ee nae Aaa eee E Print Report Print Mew screen Home Page Rabbit o Previous Will take you Agency gt j Client List Y back to the Legal screen AE NE Non Episode Contact o Next Saves the screen Activity List Intake aren i takes you to mae the screen Tx Team AK Screening Tool gjj D gt Family Assessments Psychiatric Admission Profile Controlled Environment FinanciaVHousehok Load Latest Assessment Scores Youth Clear Assessment Scores Substance Abuse dd DHSS Behavioral Health Page 81 ASAM PPC2R After doing the paper version of the ASAM select the appropriate Level of Risk and Level of Care for each ASAM dimension and provide necessary comments for your selection If the Recommended Level of Care and the Actual Level of Care do not match provide an explanation by choosing an appropriate entry in the Clinical Override box 1 Depending on your needs clicking the indicated buttons produces the following results O Cancel Will take you back to the client Activity List screen Save Saves the ASAM screen contents Finish Saves the
148. tiary appropriate entry from the drop nenos Other Addictions Selected Other Addictions down list a eae of Days Abstinent in Last 30 Days Alcohol ot eto of Days in Support Group E 11 Tertiary Frequency Select the Youth in Last 20 Days appropriate entry from the drop i ened 0 Ue REO EEN down list pm OA 12 Tertiary Method Select the ls appropriate entry from the drop Treatment Team Ge E GP aes Gp down list eae 13 At what age did the client FIRST pean use of substances indicated You must also complete this field if a substance has been indicated in the upper section of this form DHSS Behavioral Health Page 75 AKAIMS 14 of DAYS since the LAST use of 15 16 17 18 19 the substance listed above You must also complete this field if a substance has been indicated in the upper section of this form of Days Abstinent in Last 30 Days This section captures the client s current problems related to substance use It is recommended that you provide detailed comments if the client has experienced problems in the past 30 days of Days in Support Group in Last 30 Days Enter a numeric value of Days Attended AA NA Similar Meetings in Last 30 Days Enter a numeric value Does Client Currently Use Tobacco Select the appropriate entry from the drop down list Other Addictions You may use the mover box to document ad
149. tration gt My Settings gt Reports Third Level DHSS Behavioral Health Page 7 ___ User Manual v2 0 Toolbar Icons and Hyperlinks AKAIMS Toolbar This is the uppermost portion of the screen and contains the AKAIMS icon User Identity and Context Print and Help Icons and logout hyperlink AKAIMS Icon This icon is displayed near the upper left of the screen to assure the user that they are in the AKAIMS database User identity Agency Facility and active client information are immediately to the right of the icon Print View Icon The Print View Icon allows you to print the current screen Print Report Icon Allows you to print a formal document often with signature lines This is not available on all screens Help Icon This icon will take the user to the AKAIMS Support website were help information including FAQs and training documents that may be downloaded can be found The support site also contains contact information for reporting system bugs or asking technical questions and other help needs Logout Use Logout rather than closing the browser window with the red X to ensure that you will not be locked out upon trying to start a new session You will be asked if you are certain you wish to end the session Click Yes DHSS Behavioral Health Page 8 AKAIMS Navigation Buttons Cancel Cancel returns the user to the previous screen or mode without storing the data entere
150. ttesc t UGH Ors AULA WUerosore Intorioe Exponer populated based on the data that E was put into the Admissions AKAIMS Loc dministrative Facility ES module Home Page Agency gt 3 Substances will be pre populated LE from the Admission module Edit Client Profile gt pe he S p F a Non Episode Contact NA the Severity Frequency an Activity List Secondary EE j T a Method as needed to reflect the ome Tertiary None Not Applicable NA status at Discharge You cannot Tx Team of DAYS since LAST use of the substances indicated above Primary Secondary Tertiary have a secondary substance without posit rl a primary substance Admission gt Does Client Currently E Notes gt Use Tobacco 4 Discharge Parameters must be ne e Discharge Parameters comes x yo filled in as appropriate Discharge Discharge Status Treatment Profile Post Discharge Case Management Legal f Status Prognosis Diagnosis Was a family member involved E Eubsiance Abusd g Eubstance Abuse Was Concerned Person Involved Psychiatric Follow up Tx Summary Consent Codependent Collateral lu E Referrals ae es gt P a gt System Administration gt My Settings gt AA DHSS Behavioral Health Page 115 AKAIMS User Manual v2 0 5 Depending on your needs clicking the indicated buttons produces the following results o Cancel Will take you back to the Client Activity List
151. u Click Review under the Actions column on the Notes List screen for each note highlighted in light yellow In each case where you see Yes selected in the Alert field click Remove Alert if you are certain the alert is no longer needed 8 Don t forget to click the blue oval Finish button 9 When you have completed this process that client s name should no longer be displayed in red on the Client List 10 NOTE The gray Alert field defaults to No unless someone deliberately clicks Mark Alert which then auto populates that field with Yes and changes the wording to Remove Alert Clicking Remove Alert will result in the Alert field auto populating with No Na Issue If an individual comes up as having already been entered into the AKAIMS by having been seen at another facility in AK but does not remember where TBI how do we deal with this DHSS Behavioral Health Page 139 Solution a User Manual v2 0 If the person does not remember the Agency is there another person and or guardian who may be able to provide the information Is there someone else who would know If not in the absence of having a referral you will need to add the client to your Agency as a new client Agency staff needs to understand that they should always check the client list before trying to create a new client in AKAIMS If they get a warning as they complete the client profile that the SSN has already been used they should immediately ask the client
152. u back to the Episode List screen if the client had not been previously admitted If the client had been previously admitted you will be taken back to the Client Activity List screen Save Saves the Intake Case Information screen contents Finish Saves the Intake Case Information screen and you will be taken back to the Client Activity List screen When you click Finish you have opened a case for the client Next Saves the screen contents and takes you to the AK Status Review List screen AKAIMS Home Page Agency gt Client List Y Client Profile gt Non Episode Contact Activity List Y Wait List Tx Team AK Screening Tool gt Assessments gt Admission gt Notes gt Treatment gt Outcomes gt Discharge gt Consent Referrals Episode List System Administration gt My Settings gt Reports eee a P User Manual v2 0 Alhtos testurakaims ore ARAS Microsoft Intariise pionen 4 ua Leza Print Report Print Mew Help Logout Intake Case Information Intake Facility coo Initial Contact Datel Intake Date 9 26 2007 Pregnant No Due Date Referral Contact Prenatal Treatment Add Referral Contact Info Presenting Problems Injection Drug User No Respc E Primary Presenting Problem In Client s Own Words Secondary Spean Initiative Selected Inter Agency Service Selected Child Protective Services OCS Court Lega
153. utcomes GPRA gt CSR Y m CLIENT STATUS REVIEW FOLLOW UP FORM E 20351 ceo Paro Mamman ana 1 gt lAlelcjole F el CONSUMER CASE NUMBER DATE ADMINISTERED FACILITY CODE Disq l g 2 oJo l Con CONSUMER S AGE CURRENT GAF TYPE OF REVIEW it Refl Okee Osmi CO Discharged months PTE OE DISCHARGE Y epaicabi Epi O Dhage O Geren ait C Dischangd 12 morts Hoja 2 o 0 pisod Please fill in the bubble completely next to the answer that most closely fits your situation In the last six months adults three months children how often have mental or emotional problems kept you from doing normal daily activities C Almost all the time usually every dy Most of the ime 2 5 days a week Sometimes 5 10 days a month O Rarely 1 4 days a month Almost never less than 1 day a month How often do you do activities such as hunting fishing berry picking work school sports church social or treatment activities or any other activities O None O Betawen 104 20 Hrs a week CO Between 20 30 Hrs a week O Between 30 4 40 Hes a week O More then 40 hours a meek In the last six months adult three months children how often have physical health problems kept you from doing normal daily activities Almost ab the time usually every day Most of the time 2 5 days a week O Sometimes 5 10 days a month O Rarely 14 days a month Almost neve
154. utcomes gt Discharge gt er Clien E Z Print Mew Treatment Team Staff Name Non Staff Name Role Relation Review Member Primary Care Staff Deny Access to Client Records Click the Add Team Member link Add Contact ala 2 Help Logout DHSS Behavioral Health Page 89 2 0 __ User Manual y 2 Staff Name Select the appropriate entry from the drop down list 3 Non Staff Name Select the appropriate entry from the drop Note The drop down list for non staff member comes from the contact list setup in the Client Profile If you do not see the name of the person you are trying to add to the team you need to first add that person to Collateral Contacts down list 4 Click on the link for Add Contacts which will take you to the Note You can select either a Staff Name or a Non Staff Name for the Collateral Contacts screen You Treatment Team not both can add the details there save and then come back here to add the person to the team 5 Role Relation Select the elos aora AO gt Mierosofe Interior Exponer A er El appropriate entry from the drop AKAIMS Lo e Facility f Clie rint dew down list s E 6 Review Member Indicates oy ie Team Member Name Review Member Role Relatio Start Date EndDate Actions whether the team member is a Client Profile gt t Non Episode Contact member of the Treatment Plan tinea review team Choose
155. vity List gt Episode List System Administration gt My Settings gt Reports 10 4 2007 2 15 PM 110 412007 2 14 PM 10 4 2007 2 14 PM 10 4 2007 2 13 PM 10 4 2007 9 44 AM 10 4 2007 9 44 AM 10 4 2007 9 44 AM 10 4 2007 9 44 AM 10 4 2007 9 44 AM Staff Person Description of Changes __ Walker Michael Walker Michael Walker Michael Walker Michael Walker Michael Walker Michael i Walker Michael Waker Michael Walker Michael Walker Michael e Other Number 123 Created Collateral Contact test test Deleted Collateral Contact test test Deleted Collateral Contact test test Created Collateral Contact test test Created Changed Fluency Code from to Excellent Changed Education Status Code from to Unknown Changed Veteran Status Code from to Never in Military Changed Ethnicity from to Chicano Other Hispanic Special Need Developmentally Disabled Added Race American Indian Added Client Alias Bugs Created Accessed Intake Screen for Case 1 Changed Birth Date from S S 1 995 to 5 5 1992 Changed Birth Date from 5 5 1997 to 5 5 1995 Changed Birth Date from 5 5 1955 to 5 5 1997 Accessed Client Profile Screen DHSS Behavioral Health Page 41 Non Episode Contact Path Client List gt Client Profile gt Non Episode Contact Prerequisite You must have
156. y screen elias esta org AKAIMS gt Merosufe Interior Epionen ARKAIMS Agency gt Client List Y Client Profile gt Non Episode Contact Activity List Y Intake Wait List Tx Team AK Screening Tool gt Assessments gt Admission Y Profile FinanciaV Househok Youth Legal Assmt Scores ik Print Report Print Mew Help J Secondary Tertiary At what age did the client FIRST use the substances indicated above if unknown enter 97 if not applicable enter 96 of DAYS since LAST use of the substances indicated above Primary Other Addictions of Days Abstinent in Last 30 Days Alcohol of Days in Support Gro in inet 30 Daye Jx Logout of Days Attended oc o A Does Client Currently Use Tobacco STC C sCSC CSSCN DHSS Behavioral Health Page 77 lt 0 cn cb RE NACE AA a a a 2s ns ns sete ss an Jee R A l Legal History Path Client List gt Activity List gt Admission gt Legal Prerequisite You must have Y Logged into the system Y Selected a facility v Searched and retrieved an existing _ a s a client record or created and saved a Elio letal ors ACAI Microso Interior Explorer fe felix client profile if none existed INCOM EYES Loci State Administrative Facility E 2 Print Report Print Mew Help Logout v Completed a client intake episode Agency gt Clie

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